Individual provider · Type 1 NPI
Mira Rostom, DR
Pharmacist · Worcester, MA
Practice location
500 Grafton St Ste 2
Worcester, MA 01604-4799
Mailing address
500 Grafton St
Worcester, MA 01604-4713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | PH239106 (MA) |
Pharmacist: 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…
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About NPI 1093310070
Mira Rostom, DR's National Provider Identifier is 1093310070, issued on Nov 30, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Worcester, MA. The record was last updated on Nov 8, 2025.