Provider Demographics
NPI:1205430691
Name:MCIVER, ABIGAIL (RPH)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MCIVER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:MAYNARD
Mailing Address - State:MA
Mailing Address - Zip Code:01754-1063
Mailing Address - Country:US
Mailing Address - Phone:978-204-7115
Mailing Address - Fax:
Practice Address - Street 1:10 MEETINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1912
Practice Address - Country:US
Practice Address - Phone:978-486-9230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH239804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist