Provider Demographics
NPI:1760763379
Name:XEROS, ANDREW F (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:F
Last Name:XEROS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-2322
Mailing Address - Country:US
Mailing Address - Phone:781-592-2248
Mailing Address - Fax:781-592-2263
Practice Address - Street 1:841 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01905-2322
Practice Address - Country:US
Practice Address - Phone:781-592-2248
Practice Address - Fax:781-592-2263
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH24978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist