Healthcare Provider Details

I. General information

NPI: 1114521283
Provider Name (Legal Business Name): HEATHER ANNE ZAPORETSKY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2020
Last Update Date: 11/29/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 WASHINGTON ST
BRAINTREE MA
02184-1708
US

IV. Provider business mailing address

178 WASHINGTON ST
BRAINTREE MA
02184-1708
US

V. Phone/Fax

Practice location:
  • Phone: 781-843-0731
  • Fax:
Mailing address:
  • Phone: 781-843-0731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH22525
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: