Healthcare Provider Details

I. General information

NPI: 1528357332
Provider Name (Legal Business Name): KATHLEEN ANN TORRES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2011
Last Update Date: 04/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 ACUSHNET AVE
NEW BEDFORD MA
02746-2018
US

IV. Provider business mailing address

1207 ACUSHNET AVE
NEW BEDFORD MA
02746-2018
US

V. Phone/Fax

Practice location:
  • Phone: 508-984-5402
  • Fax: 508-993-2176
Mailing address:
  • Phone: 508-984-5402
  • Fax: 508-993-2176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26347
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH04887
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: