Provider Demographics
NPI:1700015724
Name:HARDY, HELENE (PHARMD, MSC)
Entity Type:Individual
Prefix:DR
First Name:HELENE
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:PHARMD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 HARRISON AVE
Mailing Address - Street 2:DOWLING BLDG #3116
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4001
Mailing Address - Country:US
Mailing Address - Phone:617-414-5401
Mailing Address - Fax:617-638-8070
Practice Address - Street 1:850 HARRISON AVE
Practice Address - Street 2:DOWLING BLDG #3116
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4001
Practice Address - Country:US
Practice Address - Phone:617-414-5401
Practice Address - Fax:617-638-8070
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-12
Last Update Date:2009-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA250771835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist