Individual
REBECCA BOURGERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1035 CAMBRIDGE ST, CAMBRIDGE, MA 02141-1057
(617) 806-8547
Mailing address
26 SHANTI PL, TOLLAND, CT 06084-2556
(617) 806-8547
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH237490
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH237490
MASSACHUSETTS BOARD OF PHARMACY
MA
Enumeration date
08/04/2017
Last updated
07/15/2024
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