Provider Demographics
NPI:1417684366
Name:KRASNER, MAURICE AARON (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:AARON
Last Name:KRASNER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 MEDWAY RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2915
Mailing Address - Country:US
Mailing Address - Phone:508-478-5748
Mailing Address - Fax:
Practice Address - Street 1:126 MEDWAY RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2915
Practice Address - Country:US
Practice Address - Phone:508-478-5748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240930183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist