Medina, Diego

Medina, Diego is an sole proprietor health care provider with primary practice located at 590 Fellsway , Medford MA 02155-4925. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Medina, Diego can be contacted via phone (781) 391-2668.

Contact Information

Primary practice address
590 Fellsway Medford MA 02155-4925
Phone: (781) 391-2668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH241523 Massachusetts

Profile Details

NPI number 1518213206
LBN Legal business name Medina, Diego
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2012
Last updated Jul 10th, 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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