Provider Demographics
NPI:1275852279
Name:CLARITO, LYN A (PHARMD)
Entity Type:Individual
Prefix:
First Name:LYN
Middle Name:A
Last Name:CLARITO
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 1:12 DUNCANNON AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-5125
Mailing Address - Country:US
Mailing Address - Phone:443-803-2544
Mailing Address - Fax:
Practice Address - Street 1:12 DUNCANNON AVE APT 10
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-5125
Practice Address - Country:US
Practice Address - Phone:443-803-2544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH232886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist