Individual
SARRA BEN GHORBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 BOYLSTON ST, BOSTON, MA 02215-3417
(617) 264-3000
Mailing address
1249 BOYLSTON ST, BOSTON, MA 02215-3417
(646) 306-9243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH236613
MA
183500000X
Pharmacist
RPH68344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042312909
BRIGHAM AND WOMEN HOSPITAL
—
Enumeration date
04/22/2013
Last updated
11/09/2017
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