Erin Haley Clifton
Individual provider Active NPI Pharmacy · Boston, MA
NPI 1821817388 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1821817388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy 333600000X
- License
- PI1000796 (MA)
- Practice address
- 429 Brookline Ave
Boston, MA 02215-5410 - Phone
- (617) 232-7506
- NPI assigned
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI1000796 | MA | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Pharmacy | Current |
Accepting new patients |
Locations
429 Brookline Ave
Boston, MA 02215
Phone (617) 232-7506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PI1000796 | MA | Yes |
Addresses
Primary practice location
429 Brookline Ave
Boston, MA 02215-5410
Mailing address
137 Calumet St Apt 3
Roxbury Crossing, MA 02120-3486
Phone (407) 937-8457
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.