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Mirna Liseth Portillo
Pharmacist in Lynn, Massachusetts
NPI 1568121903

Mirna Liseth Portillo is a Pharmacist based in Lynn, MA. Mirna Liseth Portillo practices in Lynn, MA. The NPI Number for Mirna Liseth Portillo is 1568121903 and holds a License No. PH240502 (Massachusetts).

The current practice location address for Mirna Liseth Portillo is 200 S Common St, Lynn, MA and can be reached out via phone at 781-592-1470.

Location: 200 S Common St, Lynn, MA, 01902-2602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568121903
Provider Name
Mirna Liseth Portillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 S Common St, Lynn, MA, 01902-2602
Phone Number
781-592-1470
Fax Number
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 S Common St
City
Lynn
State
Massachusetts
Zip
01905-2453
Phone Number
781-592-1470
Fax Number
person
Provider Business Mailing Address Details
Address
200 S Common St
City
Lynn
State
Massachusetts
Zip
01905-2453
Phone Number
781-592-1470
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PH240502 (Massachusetts)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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