Cathleen Ellen Brien, RPH

Individual provider Active NPI Pharmacist · Avon, MA

NPI 1922345321 · NPPES record last updated Jan 7, 2013

Key facts

NPI
1922345321
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH22398 (MA)
Practice address
120 Stockwell Dr
Avon, MA 02322-1149
Phone
(508) 232-4003
Fax
(508) 232-4011
NPI assigned
Jan 7, 2013
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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH22398MAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH22398 MA Yes

Addresses

Primary practice location

120 Stockwell Dr
Avon, MA 02322-1149

Mailing address

30 Country Club Dr
Bridgewater, MA 02324-2147
Phone (508) 279-1107

Other providers in Avon, MA

All providers in Avon, MA · Pharmacist in Massachusetts

Sources for this page

Verify at the official NPI Registry.