Provider Demographics
NPI:1467746735
Name:TOUGAS, STEPHEN LEO (RPH)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:LEO
Last Name:TOUGAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ALLSTATE RD
Mailing Address - Street 2:TARGET T-1898
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1663
Mailing Address - Country:US
Mailing Address - Phone:617-602-1922
Mailing Address - Fax:617-602-1922
Practice Address - Street 1:7 ALLSTATE RD
Practice Address - Street 2:TARGET T-1898
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-1663
Practice Address - Country:US
Practice Address - Phone:617-602-1922
Practice Address - Fax:617-602-1922
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17478183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist