Provider Demographics
NPI:1467654681
Name:FORD, MARY LEE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LEE
Last Name:FORD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:46 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-1721
Mailing Address - Country:US
Mailing Address - Phone:978-388-3750
Mailing Address - Fax:978-834-9820
Practice Address - Street 1:11 HAVERHILL RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3521
Practice Address - Country:US
Practice Address - Phone:978-834-0014
Practice Address - Fax:978-834-9820
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA15908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist