Provider Demographics
NPI:1942532940
Name:URBAN-LEVIN, GAIL M (RPH)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:M
Last Name:URBAN-LEVIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:261 CEDAR HILL ST
Mailing Address - Street 2:BUILDING C - SUITE 120
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3056
Mailing Address - Country:US
Mailing Address - Phone:508-460-9813
Mailing Address - Fax:800-884-3013
Practice Address - Street 1:261 CEDAR HILL ST
Practice Address - Street 2:BUILDING C - SUITE 120
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3056
Practice Address - Country:US
Practice Address - Phone:508-460-9813
Practice Address - Fax:800-884-3013
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH20148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist