NPI 1003123191

Amanda Elizabeth Ferguson, PHARMDCANDIDATE

Practitioner Pharmacist Roxbury, MA

Practice location

Address: 416 Warren St, Roxbury, MA 02119-1831
Phone: (617) 541-0310

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 130848 (MA)

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Registry record

NPI: 1003123191
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2010
Record last updated: 10 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.