Sandra Elizabeth Colucci, PHARM.D
Individual provider Active NPI Pharmacist · Hanscom Afb, MA
NPI 1992190490 · NPPES record last updated Apr 1, 2015
Key facts
- NPI
- 1992190490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH235481 (MA)
- Practice address
- 90 Vandenberg Dr BLDG 1900
Hanscom Afb, MA 01731-2104 - Phone
- (781) 225-6173
- NPI assigned
- Apr 1, 2015
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PH235481 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH235481 | MA | Yes |
Addresses
Primary practice location
90 Vandenberg Dr BLDG 1900
Hanscom Afb, MA 01731-2104
Mailing address
90 Vandenberg Dr
Hanscom Afb
Hanscom Afb, MA 01731-2104
Other providers in Hanscom Afb, MA
- Rebecca Charette
- John Choiniere
- Kyung Min Chung
- Jay Scott Cloutier
- John F. Coke
- Callie Comstock
- Beverly A Dangelo
- Glenn Emery Degere
- David Anthony Digregorio
- Mohammed Fuad
All providers in Hanscom Afb, MA · Pharmacist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2015. 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.