Individual
SARA JINGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
99 HARVARD ST, BROOKLINE, MA 02446-6403
(617) 731-4536
Mailing address
99 HARVARD ST, BROOKLINE, MA 02446-6403
(617) 731-4536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH233603
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH233603
PHARMACIST LICENSE COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
09/23/2011
Last updated
09/26/2011
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