Provider Demographics
NPI:1740595388
Name:PAPPAS, EVANGELINE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:EVANGELINE
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:638 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-4212
Mailing Address - Country:US
Mailing Address - Phone:781-341-0938
Mailing Address - Fax:781-341-2758
Practice Address - Street 1:638 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-4212
Practice Address - Country:US
Practice Address - Phone:781-341-0938
Practice Address - Fax:781-341-2758
Is Sole Proprietor?:No
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist