Healthcare Provider Details

I. General information

NPI: 1275089195
Provider Name (Legal Business Name): EMILIE JULIA ANN PIRES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 PURCHASE ST
NEW BEDFORD MA
02740-6232
US

IV. Provider business mailing address

824 PURCHASE ST
NEW BEDFORD MA
02740-6232
US

V. Phone/Fax

Practice location:
  • Phone: 508-992-2422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH236968
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: