Doctor Name: | CLARA C OFODILE |
NPI Number: | 1033544523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARM.D. |
License Number: | PH234896 |
Business Practice Address: | 55 Dimock St Dimock Pharmacy Roxbury, MA - 021191029 |
Business Phone Number: | 6174428800 |
Business Fax Number: | 6175418622 |
Mailing Address: | 55 Dimock St, Dimock Pharmacy ROXBURY |
State: | MA |
Postal Code: | 021191029 |
Phone Number: | 6174428800 |
Fax Number: | 6175418622 |
NPI Enumeration Date: | 09/04/2013 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | PH234896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |