Healthcare Provider Details

I. General information

NPI: 1053060368
Provider Name (Legal Business Name): MUHAMMAD EROS XHEMALI PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 QUEEN ST STE 13
WORCESTER MA
01610-2478
US

IV. Provider business mailing address

246 E MOUNTAIN ST
WORCESTER MA
01606-1285
US

V. Phone/Fax

Practice location:
  • Phone: 508-860-7790
  • Fax:
Mailing address:
  • Phone: 508-340-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH236973
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: