MEDICARE: DR. PAUL N ABOURJAILY PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	23841	MA
2	183500000X	Pharmacist	3827	RI
3	183500000X	Pharmacist	PR4621	ME
4	1835P1200X	Pharmacotherapy Pharmacist	299101	MA

General Provider Information

NPI Number	:	1255337044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL N ABOURJAILY PHARMD

Provider Business Mailing Address
First Line	:	38 MONTEIRO WAY
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5327
Country	:	US
Telephone Number	:	978-258-3367
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 WASHINGTON ST
Second Line	:	# 420
City	:	BOSTON
State	:	MA
Zip	:	02111-1526
Country	:	US
Telephone Number	:	617-636-0743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	09/11/2025

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