Provider Demographics
NPI:1659787745
Name:BIOC, JUSTIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:
Last Name:BIOC
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 1:214 RUMFORD AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2176
Mailing Address - Country:US
Mailing Address - Phone:508-339-9080
Mailing Address - Fax:508-339-9084
Practice Address - Street 1:214 RUMFORD AVE STE 103
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2176
Practice Address - Country:US
Practice Address - Phone:508-339-9080
Practice Address - Fax:508-339-9084
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist