MEDICARE: DR. JOSEPH R GIMLER 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	239463	MA

General Provider Information

NPI Number	:	1376148007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH R GIMLER PHARMD

Provider Business Mailing Address
First Line	:	400 WASHINGTON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-6144
Country	:	US
Telephone Number	:	508-838-8365
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 WASHINGTON ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02446-6144
Country	:	US
Telephone Number	:	508-838-8365
Fax Number	:

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

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/01/2020

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