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NPI Code Detail

MEDICARE: VERA LORAINE PARKER PHARM.D.

MEDICARE: VERA LORAINE PARKER PHARM.D.
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
1183500000XPharmacistPH234710MA

General Provider Information

NPI Number : 1639511587
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA LORAINE PARKER PHARM.D.
Provider Business Mailing Address
First Line : 99 GRANGER BLVD
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-2855
Country : US
Telephone Number : 508-229-0540
Fax Number : 508-229-8176
Provider Business Practice Location Address
First Line : 99 GRANGER BLVD
Second Line :
City : MARLBOROUGH
State : MA
Zip : 01752-2855
Country : US
Telephone Number : 508-229-0540
Fax Number : 508-229-8176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2013
Last Update Date : 07/20/2013

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