Healthcare Provider Details
I. General information
NPI: 1568774024
Provider Name (Legal Business Name): LAUREN FINLAY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/12/2010
Last Update Date: 04/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 VFW PKWY
BOSTON MA
02132-4927
US
IV. Provider business mailing address
11 AUBURN ST
WAKEFIELD MA
01880-2710
US
V. Phone/Fax
- Phone: 857-203-5395
- Fax:
- Phone: 617-777-0599
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | PH233029 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1835P0018X |
| Taxonomy | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| License Number | PH233029 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: