Healthcare Provider Details

I. General information

NPI: 1538764469
Provider Name (Legal Business Name): EMMA WANJIRU NJOROGE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 S MAIN ST
SHARON MA
02067-1920
US

IV. Provider business mailing address

66 S MAIN ST
SHARON MA
02067-1920
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-6714
  • Fax: 781-793-9979
Mailing address:
  • Phone: 781-784-6714
  • Fax: 781-793-9979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26930
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: