Provider Demographics
NPI:1467420398
Name:STEPANIAN, SALPI SIMA (PHARMD, CDM)
Entity Type:Individual
Prefix:DR
First Name:SALPI
Middle Name:SIMA
Last Name:STEPANIAN
Suffix:
Gender:F
Credentials:PHARMD, CDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-4914
Mailing Address - Country:US
Mailing Address - Phone:617-750-2498
Mailing Address - Fax:
Practice Address - Street 1:93 WORCESTER ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-3609
Practice Address - Country:US
Practice Address - Phone:617-509-5769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA257081835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy