Mohammad R Alihosseini, RPH

Individual provider Active NPI Pharmacist · Tewksbury, MA

NPI 1508181587 · NPPES record last updated Apr 1, 2010

Key facts

NPI
1508181587
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
21863 (MA)
Practice address
10 Main St
Tewksbury, MA 01876
Phone
(978) 858-0750
NPI assigned
Apr 1, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
21863MAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21863 MA Yes
Pharmacotherapy Pharmacist 1835P1200X 21863 MA

Addresses

Primary practice location

10 Main St
Tewksbury, MA 01876

Mailing address

21 Blacksmith Way
Saugus, MA 01906-4440
Phone (781) 231-8193

Other providers in Tewksbury, MA

All providers in Tewksbury, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.