Provider Demographics
NPI:1275137101
Name:HARVEY, JUSTINE FRANCES (PHARMD)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:FRANCES
Last Name:HARVEY
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 1:468 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2006
Mailing Address - Country:US
Mailing Address - Phone:781-982-2946
Mailing Address - Fax:781-982-9473
Practice Address - Street 1:468 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-2006
Practice Address - Country:US
Practice Address - Phone:781-982-2946
Practice Address - Fax:781-982-9473
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist