NPI 1003969593

Nicole Stoothoff, RPH

Practitioner Pharmacist Boston, MA

Practice location

Address: 880 Harrison Ave Outpatient Pharmacy Yaac, Boston, MA 02118
Phone: (617) 414-4883

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 25926 (MA)

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Registry record

NPI: 1003969593
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2007
Record last updated: 27 May 2008

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.