Provider Demographics
NPI:1366046005
Name:BHOSLE, MUGDHA (RPH)
Entity Type:Individual
Prefix:
First Name:MUGDHA
Middle Name:
Last Name:BHOSLE
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 1:134 ELM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2942
Mailing Address - Country:US
Mailing Address - Phone:503-547-3264
Mailing Address - Fax:
Practice Address - Street 1:272 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-1832
Practice Address - Country:US
Practice Address - Phone:978-745-4943
Practice Address - Fax:978-745-6689
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH236385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist