Provider Demographics
NPI:1528657822
Name:IEPURE, CRISTINA LUCIA (RPH)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:LUCIA
Last Name:IEPURE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 DRUM HILL RD STE 392
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1505
Mailing Address - Country:US
Mailing Address - Phone:857-540-2897
Mailing Address - Fax:
Practice Address - Street 1:2 VINAL SQ
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1312
Practice Address - Country:US
Practice Address - Phone:978-251-7070
Practice Address - Fax:978-251-7071
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist