Provider Demographics
NPI:1518615350
Name:SEBELA PHARMA RX DIRECT
Entity Type:Organization
Organization Name:SEBELA PHARMA RX DIRECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-382-0095
Mailing Address - Street 1:41B BROOKS DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184
Mailing Address - Country:US
Mailing Address - Phone:781-382-0095
Mailing Address - Fax:
Practice Address - Street 1:41B BROOKS DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184
Practice Address - Country:US
Practice Address - Phone:781-382-0095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy