Healthcare Provider Details

I. General information

NPI: 1811811268
Provider Name (Legal Business Name): ERIN SUNDSTROM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 S HUNTINGTON AVE
JAMAICA PLAIN MA
02130
US

IV. Provider business mailing address

8 QUEENS CT
WALPOLE MA
02081-3145
US

V. Phone/Fax

Practice location:
  • Phone: 617-232-9500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1003827
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: