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NPI Code Detail

MEDICARE: JESSICA LAU KOSOFSKY PHARMD

MEDICARE: JESSICA LAU KOSOFSKY 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
11835P2201XAmbulatory Care PharmacistPH236717MA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPH236717MA

General Provider Information

NPI Number : 1992258735
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LAU KOSOFSKY PHARMD
Provider Business Mailing Address
First Line : 421 N MAIN ST
Second Line :
City : LEEDS
State : MA
Zip : 01053-9764
Country : US
Telephone Number : 413-584-4040
Fax Number :
Provider Business Practice Location Address
First Line : 421 N MAIN ST
Second Line :
City : LEEDS
State : MA
Zip : 01053-9764
Country : US
Telephone Number : 413-584-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2016
Last Update Date : 05/13/2026

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Directions to “ JESSICA LAU KOSOFSKY PHARMD” Practice Location

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