NPI 1114574019

Mary Rose Maiullari, PHARMD

Practitioner Pharmacist Roxbury, MA

Practice location

Address: 55 Dimock St, Roxbury, MA 02119-1029
Phone: (617) 442-8800
Mailing address: 618 E Broadway, South Boston, MA 02127-1502

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PH239020 (MA)

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Registry record

NPI: 1114574019
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2019
Record last updated: 25 Aug 2019

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.