Healthcare Provider Details

I. General information

NPI: 1134066517
Provider Name (Legal Business Name): DANIELLA WURAOLA SALAWU RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LINCOLN ST
HINGHAM MA
02043-1503
US

IV. Provider business mailing address

405 LINCOLN ST
HINGHAM MA
02043-1503
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-1163
  • Fax:
Mailing address:
  • Phone: 781-749-1163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002883
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: