Healthcare Provider Details

I. General information

NPI: 1417162256
Provider Name (Legal Business Name): ERIN MARIE SPYROPOULOS PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 10/30/2022
Certification Date: 10/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 MALL RD
BURLINGTON MA
01805-5418
US

IV. Provider business mailing address

180 FOX HILL RD
BURLINGTON MA
01803-1505
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-1824
  • Fax:
Mailing address:
  • Phone: 978-273-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number5130053
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number26855
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: