Provider Demographics
NPI:1659955722
Name:SAWICKI, KERRI ANNE (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KERRI
Middle Name:ANNE
Last Name:SAWICKI
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:DR
Other - First Name:KERRI
Other - Middle Name:ANNE
Other - Last Name:SAWICKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH,PHARMD
Mailing Address - Street 1:76 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2114
Mailing Address - Country:US
Mailing Address - Phone:774-303-2029
Mailing Address - Fax:
Practice Address - Street 1:532 MEDFORD ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02145-2657
Practice Address - Country:US
Practice Address - Phone:617-628-1401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist