NPI 1013788223

Alica Mom

Practitioner Pharmacy Technician Peabody, MA

Practice location

Address: 2 Centennial Dr, Peabody, MA 01960-7911
Phone: (978) 977-7744
Mailing address: 13 Varnum St, Haverhill, MA 01832-5216

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PT101225 (MA)

Other Pharmacy Technician providers in Massachusetts →

Registry record

NPI: 1013788223
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2024
Record last updated: 16 Jan 2024

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.