Provider Demographics
NPI:1629288287
Name:SKEFFINGTON, PATRICK JOHN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JOHN
Last Name:SKEFFINGTON
Suffix:
Gender:M
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:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:SOUTH SUTTON
Mailing Address - State:NH
Mailing Address - Zip Code:03273-0562
Mailing Address - Country:US
Mailing Address - Phone:603-867-5968
Mailing Address - Fax:
Practice Address - Street 1:120 BEACON ST
Practice Address - Street 2:SUITE 202 PHARMACY ADMINISTRATION
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-4370
Practice Address - Country:US
Practice Address - Phone:617-499-8314
Practice Address - Fax:617-499-8387
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1652371835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy