Individual
LAURA CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 LONGWOOD AVE, ENDERS 324-328, BOSTON, MA 02115-5724
(857) 218-3527
Mailing address
179 PARK ST, UNIT 404, MEDFORD, MA 02155-3930
(508) 942-2706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH234797
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH234797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH234797
MA BOARD OF PHARMACY
MA
Enumeration date
10/25/2016
Last updated
10/25/2016
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