Provider Demographics
NPI:1982284949
Name:KARANXHA, ERIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIS
Middle Name:
Last Name:KARANXHA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BALDWIN ST APT B
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2082
Mailing Address - Country:US
Mailing Address - Phone:781-267-2508
Mailing Address - Fax:
Practice Address - Street 1:3158 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-4514
Practice Address - Country:US
Practice Address - Phone:617-553-2501
Practice Address - Fax:617-477-4917
Is Sole Proprietor?:No
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233114183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist