MEDICARE: RUTH ABI-KHEIRS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	19687	MA

General Provider Information

NPI Number	:	1326644642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH ABI-KHEIRS

Provider Business Mailing Address
First Line	:	480 NANTASKET AVE
Second Line	:
City	:	HULL
State	:	MA
Zip	:	02045-2521
Country	:	US
Telephone Number	:	781-925-1270
Fax Number	:	781-925-0551

Provider Business Practice Location Address
First Line	:	480 NANTASKET AVE
Second Line	:
City	:	HULL
State	:	MA
Zip	:	02045-2521
Country	:	US
Telephone Number	:	781-925-1270
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2020
Last Update Date	:	12/10/2020

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Directions to “ RUTH ABI-KHEIRS ” Practice Location

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