Provider Demographics
NPI:1821339169
Name:BLOUIN, GAYLE C (PHARMD)
Entity Type:Individual
Prefix:
First Name:GAYLE
Middle Name:C
Last Name:BLOUIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32 FRUIT ST
Mailing Address - Street 2:YAWKEY BUILDING, 8TH FLOOR INFUSION PHARMACY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2620
Mailing Address - Country:US
Mailing Address - Phone:617-643-1822
Mailing Address - Fax:617-726-9245
Practice Address - Street 1:32 FRUIT ST
Practice Address - Street 2:YAWKEY BUILDING, 8TH FLOOR INFUSION PHARMACY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2620
Practice Address - Country:US
Practice Address - Phone:617-643-1822
Practice Address - Fax:617-726-9245
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA198671835P0018X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835X0200XPharmacy Service ProvidersPharmacistOncology