MEDICARE: LEENA ALBASHA RPH

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	PH237905	MA

General Provider Information

NPI Number	:	1518674795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEENA ALBASHA RPH

Provider Business Mailing Address
First Line	:	119 DEDHAM ST
Second Line	:
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461-2135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 DEDHAM ST
Second Line	:
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461-2135
Country	:	US
Telephone Number	:	617-820-6339
Fax Number	:

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

Provider Enumeration Date	:	10/28/2022
Last Update Date	:	10/28/2022

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