Lisa Woelper, PHARMD

Individual provider Active NPI Pharmacist · Southwick, MA

NPI 1659660660 · NPPES record last updated Mar 30, 2011

Key facts

NPI
1659660660
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH25751 (MA)
Practice address
515 College Hwy
Southwick, MA 01077-9826
Phone
(413) 569-1251
Fax
(413) 569-5257
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH25751MAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH25751 MA Yes

Addresses

Primary practice location

515 College Hwy
Southwick, MA 01077-9826

Mailing address

515 College Highway
Southwick, MA 01077-9826
Phone (413) 569-1251

Other providers in Southwick, MA

All providers in Southwick, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.