Provider Demographics
NPI:1699379800
Name:GIRARD-MAJKA, TERESE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERESE
Middle Name:
Last Name:GIRARD-MAJKA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:MA
Mailing Address - Zip Code:01033-9450
Mailing Address - Country:US
Mailing Address - Phone:413-467-1650
Mailing Address - Fax:413-467-1656
Practice Address - Street 1:70 W STATE ST
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:MA
Practice Address - Zip Code:01033-9450
Practice Address - Country:US
Practice Address - Phone:413-467-1650
Practice Address - Fax:413-467-1656
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist