Provider Demographics
NPI:1528216850
Name:ZEGARRA, CLAUDIA SHEYLA
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:SHEYLA
Last Name:ZEGARRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PATTEN ST
Mailing Address - Street 2:A - 8
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-3947
Mailing Address - Country:US
Mailing Address - Phone:617-968-8808
Mailing Address - Fax:
Practice Address - Street 1:90 RIVER ST
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2975
Practice Address - Country:US
Practice Address - Phone:617-298-6634
Practice Address - Fax:617-298-3517
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist