MEDICARE: MS. MIMOSE D FRANCOIS 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	20331	MA

General Provider Information

NPI Number	:	1588619480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MIMOSE D FRANCOIS RPH

Provider Business Mailing Address
First Line	:	28 SEDALIA RD
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-2318
Country	:	US
Telephone Number	:	781-552-9239
Fax Number	:	781-687-2124

Provider Business Practice Location Address
First Line	:	28 SEDALIA RD
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-2318
Country	:	US
Telephone Number	:	781-552-9239
Fax Number	:	781-687-2124

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	06/09/2011

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