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
Phone: (833) 976-1582
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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