Leary, John D

Leary, John D is an individual health care provider with primary practice located at 1690 Commonwealth Ave , Brighton MA 02135-5602. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Leary, John D can be contacted via phone (617) 232-3513.

Contact Information

Primary practice address
1690 Commonwealth Ave Brighton MA 02135-5602
Phone: (617) 232-3513
Fax: (617) 232-1569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 18373 Massachusetts

Profile Details

NPI number 1417983313
LBN Legal business name Leary, John D
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 22nd, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417983313 NPPES
Other 2204662 NABP NUMBER
MEDICAID 0400076 NABP NUMBER

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