Healthcare Provider Details

I. General information

NPI: 1255265849
Provider Name (Legal Business Name): MARIA STRATTON MCKINNON PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HIGHLAND AVE
SALEM MA
01970-2714
US

IV. Provider business mailing address

24 LAKE ST UNIT 1
WAKEFIELD MA
01880-3127
US

V. Phone/Fax

Practice location:
  • Phone: 978-354-4293
  • Fax:
Mailing address:
  • Phone: 413-687-1113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH237532
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: