Healthcare Provider Details

I. General information

NPI: 1346575446
Provider Name (Legal Business Name): ERICA HURSEY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 02/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BLUE HILL DR SUITE 2B
WESTWOOD MA
02090-2164
US

IV. Provider business mailing address

400 BLUE HILL DR SUITE 2B
WESTWOOD MA
02090-2164
US

V. Phone/Fax

Practice location:
  • Phone: 617-754-1026
  • Fax:
Mailing address:
  • Phone: 617-754-1026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH232525
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: