John D Leary is a Pharmacist in Brighton, Massachusetts. John D Leary practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for John D Leary is 1417983313. The last update date is 2011-06-22.
John D Leary's current location address is 1690 Commonwealth Ave, Brighton, Massachusetts. You can contact this provider via phone number 6172323513. The mailing address for John D Leary is 1690 Commonwealth Ave, Brighton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Leary |
|---|---|
| Address | 1690 Commonwealth Ave, Brighton, Massachusetts |
| Phone Number | 6172323513 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHARMACIST |
NPI Number Detail
| NPI Number | 1417983313 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2011-06-22 |
Provider Mailing Address Detail
| Address | 1690 Commonwealth Ave |
|---|---|
| City | Brighton |
| State | Massachusetts (MA) |
| Post Code | 21355602 |
| Phone Number | 6172323513 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 18373 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2204662 | NABP NUMBER | ||
| 400076 | MA | -- |
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What is the unique 10-digit identifier code assigned to John D Leary by the Centers for Medicare & Medicaid Services?
The John D Leary has been issued the NPI (National Provider Identifier) 1417983313 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the John D Leary's physical address?
The John D Leary is physically located at 1690 Commonwealth Ave, in the city of Brighton, MA, with the postal code 21355602.
What is the John D Leary's area of specialization and corresponding taxonomy classification?
The John D Leary's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the John D Leary receive its 1417983313 assignment from the Centers for Medicare & Medicaid Services?
The John D Leary was assigned its 1417983313 by the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information related to John D Leary most recently updated or refreshed?
The details pertaining to the John D Leary, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-06-22.
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