NPI 1013511237

Leslie S Doyle

Practitioner Pharmacist Revere, MA

Practice location

Address: 540 Squire Rd, Revere, MA 02151-1863
Phone: (781) 289-6879
Fax: (844) 411-6206

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 17033 (MA)

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Registry record

NPI: 1013511237
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2020
Record last updated: 29 Nov 2020

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.