Healthcare Provider Details

I. General information

NPI: 1720682529
Provider Name (Legal Business Name): FJORALBA ZHOBRO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 11/23/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 TUPPER RD RT6A
SANDWICH MA
02563
US

IV. Provider business mailing address

65 TUPPER RD RT6A
SANDWICH MA
02563
US

V. Phone/Fax

Practice location:
  • Phone: 508-888-4333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH237235
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: