Avila Vazquez, Omar

Avila Vazquez, Omar is an individual health care provider with primary practice located at 100 Technology Center Dr , Stoughton MA 02072-4710. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Avila Vazquez, Omar can be contacted via phone (833) 976-1582.

Contact Information

Primary practice address
100 Technology Center Dr Stoughton MA 02072-4710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PI-0012356 Oregon
Pharmacy Service Providers / Pharmacist 183500000X RPH-0017509 Oregon

Profile Details

NPI number 1417519240
LBN Legal business name Avila Vazquez, Omar
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Aug 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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