Healthcare Provider Details

I. General information

NPI: 1255261582
Provider Name (Legal Business Name): DANIELLE KEBADJIAN LINDALE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BOSTON MEDICAL CTR PL
BOSTON MA
02118-2908
US

IV. Provider business mailing address

25 MARLBORO RD
WOBURN MA
01801-3427
US

V. Phone/Fax

Practice location:
  • Phone: 617-414-5609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License NumberPH25530
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: