Healthcare Provider Details

I. General information

NPI: 1942926449
Provider Name (Legal Business Name): LEAH WANJIKU NJOROGE PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1163 PROVIDENCE RD
WHITINSVILLE MA
01588-2119
US

IV. Provider business mailing address

15 PHILLIPS CT
SHREWSBURY MA
01545-5127
US

V. Phone/Fax

Practice location:
  • Phone: 508-234-7341
  • Fax:
Mailing address:
  • Phone: 857-417-8043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number240303
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: