Provider Demographics
NPI:1508087701
Name:TRUJILLO, TOBY C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TOBY
Middle Name:C
Last Name:TRUJILLO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:88 E NEWTON ST
Mailing Address - Street 2:H2606
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2308
Mailing Address - Country:US
Mailing Address - Phone:617-638-3791
Mailing Address - Fax:617-638-6782
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:H2606
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2308
Practice Address - Country:US
Practice Address - Phone:617-638-3791
Practice Address - Fax:617-638-6782
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA240591835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy