Provider Demographics
NPI:1043896293
Name:JESMIN, NAHID SULTANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAHID
Middle Name:SULTANA
Last Name:JESMIN
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 1:350 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6037
Mailing Address - Country:US
Mailing Address - Phone:781-933-4410
Mailing Address - Fax:
Practice Address - Street 1:350 CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6037
Practice Address - Country:US
Practice Address - Phone:781-933-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH240051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist