Provider Demographics
NPI:1821687203
Name:SHARMA, VIBHA (PHD, RPH)
Entity Type:Individual
Prefix:DR
First Name:VIBHA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-1735
Mailing Address - Country:US
Mailing Address - Phone:617-388-1786
Mailing Address - Fax:
Practice Address - Street 1:655 MOUNT AUBURN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2017
Practice Address - Country:US
Practice Address - Phone:617-744-0842
Practice Address - Fax:617-850-8688
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH26490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist