Healthcare Provider Details

I. General information

NPI: 1154244267
Provider Name (Legal Business Name): ISABEL GRACE BEJM RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 JENKINS RD
BEDFORD NH
03110-5038
US

IV. Provider business mailing address

180 CENTRAL AVE APT 302
CHELSEA MA
02150-4661
US

V. Phone/Fax

Practice location:
  • Phone: 603-472-2501
  • Fax:
Mailing address:
  • Phone: 224-808-9669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHCY-05830
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: