Provider Demographics
NPI:1750809075
Name:MAGALHAES, JUDITH (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:MAGALHAES
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 JORDAN LN
Mailing Address - Street 2:
Mailing Address - City:EAST FREETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02717-1036
Mailing Address - Country:US
Mailing Address - Phone:508-728-0730
Mailing Address - Fax:
Practice Address - Street 1:9 JORDAN LN
Practice Address - Street 2:
Practice Address - City:EAST FREETOWN
Practice Address - State:MA
Practice Address - Zip Code:02717-1036
Practice Address - Country:US
Practice Address - Phone:508-763-2840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH055611835P0018X
MAPH213121835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist