Individual provider · Type 1 NPI

Amanda Diane Reisbig

Pharmacist · Stoughton, MA

NPI number 1790293579 Active

Practice location

100 Technology Center Dr
Stoughton, MA 02072-4710

Call (781) 566-5066 Map

Mailing address

461 Porter Rd
East Longmeadow, MA 01028-1443

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPH239027 (MA)
Pharmacy Technician 183700000XPI162065 (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 1790293579

Amanda Diane Reisbig's National Provider Identifier is 1790293579, issued on Jan 16, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Stoughton, MA. The record was last updated on May 26, 2026.