Provider Demographics
NPI:1780213165
Name:DWYER, BRITTANY LANEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:LANEE
Last Name:DWYER
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 1:36 PARAMOUNT DR
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-1001
Mailing Address - Country:US
Mailing Address - Phone:508-822-7122
Mailing Address - Fax:508-822-1784
Practice Address - Street 1:36 PARAMOUNT DR
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-1001
Practice Address - Country:US
Practice Address - Phone:508-822-7122
Practice Address - Fax:508-822-1784
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist