Provider Demographics
NPI:1003193442
Name:LEMIEUX, TRICIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 JOHN FITCH HWY
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-8404
Mailing Address - Country:US
Mailing Address - Phone:978-343-8329
Mailing Address - Fax:
Practice Address - Street 1:571 JOHN FITCH HWY
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-8404
Practice Address - Country:US
Practice Address - Phone:978-343-8329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233650183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist