Individual provider · Type 1 NPI
Jordan Diebolt, PharmD, RPH
Pharmacist · Waltham, MA
Practice location
69 Hickory Dr Ste 1
Waltham, MA 02451-1011
Mailing address
8 Cirrus Dr Unit 109
Ashland, MA 01721-4457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | PH235214 (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…
2 other providers at this address
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About NPI 1588423909
Jordan Diebolt, PharmD, RPH's National Provider Identifier is 1588423909, issued on Mar 18, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Waltham, MA. The record was last updated on Mar 18, 2024.