Doctor Name: | ANGELA MARIE CORREIA |
NPI Number: | 1043312424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | 26118 |
Business Practice Address: | 1400 Vfw Pkwy West Roxbury, MA - 021324927 |
Business Phone Number: | 8572035460 |
Business Fax Number: | |
Mailing Address: | 1400 Vfw Pkwy, WEST ROXBURY |
State: | MA |
Postal Code: | 021324927 |
Phone Number: | 8572035460 |
Fax Number: | |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 04/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 26118 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |