Healthcare Provider Details

I. General information

NPI: 1962451609
Provider Name (Legal Business Name): HANSA PINAKIN JOSHI PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SPRINGS RD
BEDFORD MA
01730-1114
US

IV. Provider business mailing address

2592 MASS AVE CONDO # 3
CAMBRIDGE MA
02140-1631
US

V. Phone/Fax

Practice location:
  • Phone: 781-687-7500
  • Fax: 781-687-2124
Mailing address:
  • Phone: 781-389-7736
  • Fax: 781-687-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20214
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: