Healthcare Provider Details

I. General information

NPI: 1972423275
Provider Name (Legal Business Name): SUELLEN ONEILL M.S., PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PICKEREL TER
WELLESLEY MA
02482-4211
US

IV. Provider business mailing address

PO BOX 812594
WELLESLEY MA
02482-0021
US

V. Phone/Fax

Practice location:
  • Phone: 781-883-4185
  • Fax:
Mailing address:
  • Phone: 781-883-4185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH18416
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: