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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN DIEBOLT, PHARMD, RPH

Active

JORDAN DIEBOLT, PHARMD, RPH is a Pharmacist healthcare provider located in WALTHAM, Massachusetts. NPI 1588423909 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · WALTHAM, MA

Registration Details

NPI Number
1588423909
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2024 (2.3832769356614 yrs)
Last Updated
Mar 18, 2024
License
PH235214 (MA)

Practice Information

Address
69 HICKORY DR STE 1
WALTHAM, MA, 024511011
Browse MA providers · Browse ZIP 02451
Phone
7813739199
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in WALTHAM, MA

Name Credential NPI
DR. SOPHIE M MCINTYRE PHARMD 1174510887
DR. ALINE S KEOMURJIAN PHARMD, CDM 1114997632
DR. AMEE D. MISTRY PHARM.D. 1285795682
ANGELA M ANDREOLI PHARMD 1851505903
GARY L KRACOFF REG. PHARM, NMD 1497934194
MR. BHUREN HARISH PATEL R.PH. 1255662201
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.