Provider Demographics
NPI:1497974323
Name:CHIBUEZE, SABINE CHIBUZOR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SABINE
Middle Name:CHIBUZOR
Last Name:CHIBUEZE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1117
Mailing Address - Country:US
Mailing Address - Phone:781-767-0552
Mailing Address - Fax:
Practice Address - Street 1:479 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1117
Practice Address - Country:US
Practice Address - Phone:781-767-0552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23402183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist