Healthcare Provider Details

I. General information

NPI: 1750369047
Provider Name (Legal Business Name): BRIAN GREGORY KERR RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 10/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON; PHARMACY DEPARTMENT
BOSTON MA
02115-5724
US

IV. Provider business mailing address

742 OLD POST RD
NORTH ATTLEBORO MA
02760-4204
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-2218
  • Fax:
Mailing address:
  • Phone: 508-316-0209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2996
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: