Provider Demographics
NPI:1285826305
Name:REGAN, MARY E (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:REGAN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:68 STUART ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1630
Mailing Address - Country:US
Mailing Address - Phone:617-665-2735
Mailing Address - Fax:617-665-2228
Practice Address - Street 1:1493 CAMBRIDGE ST
Practice Address - Street 2:THE CAMBRIDGE HOSPITAL, INPATIENT PHARMACY 2ND FL
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1047
Practice Address - Country:US
Practice Address - Phone:617-665-2735
Practice Address - Fax:617-665-2228
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235461835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy