Healthcare Provider Details

I. General information

NPI: 1588048169
Provider Name (Legal Business Name): JESSICA COTTRELL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 KEMPTON ST
NEW BEDFORD MA
02740-1531
US

IV. Provider business mailing address

1145 KEMPTON ST
NEW BEDFORD MA
02740-1531
US

V. Phone/Fax

Practice location:
  • Phone: 508-999-3241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH238642
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: