NPI 1104813856

Debra Jean Reid, PHARMD

Practitioner Pharmacist Roxbury, MA

Practice location

Address: 45 Dimock St, Roxbury, MA 02119-1208
Phone: (617) 442-8800
Mailing address: 55 Dimock St, Roxbury, MA 02119-1029

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 26306 (MA)

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Registry record

NPI: 1104813856
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2005
Record last updated: 9 Apr 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.