Provider Demographics
NPI:1588619480
Name:FRANCOIS, MIMOSE D (RPH)
Entity Type:Individual
Prefix:MS
First Name:MIMOSE
Middle Name:D
Last Name:FRANCOIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SEDALIA RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2318
Mailing Address - Country:US
Mailing Address - Phone:781-552-9239
Mailing Address - Fax:781-687-2124
Practice Address - Street 1:28 SEDALIA RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-2318
Practice Address - Country:US
Practice Address - Phone:781-552-9239
Practice Address - Fax:781-687-2124
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist