Provider Demographics
NPI:1255495974
Name:AOUN, RITA ELIAS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:ELIAS
Last Name:AOUN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CHASE DR
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2931
Mailing Address - Country:US
Mailing Address - Phone:781-784-7774
Mailing Address - Fax:
Practice Address - Street 1:942 HYDE PARK AVE # A
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-3269
Practice Address - Country:US
Practice Address - Phone:617-361-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist