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

DR. VANESSA E. FOSSOUO, PHARM.D

Active Sole Proprietor

DR. VANESSA E. FOSSOUO, PHARM.D is a Pharmacist Clinician (PhC) healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1619128519 is currently active in the NPPES registry. Verify at CMS.

Pharmacist Clinician (PhC) · JAMAICA PLAIN, MA

Registration Details

NPI Number
1619128519
Provider Type
Individual
Gender
Female
NPI Issued
Oct 9, 2008 (17.858282949009 yrs)
Last Updated
Apr 19, 2016
Licenses
27489 (MA)
27489 (MA)
Sole Proprietor
Yes

Practice Information

Address
150 S HUNTINGTON AVE
JAMAICA PLAIN, MA, 021304817
Browse MA providers · Browse ZIP 02130
Phone
6172329500
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in JAMAICA PLAIN, MA

Name Credential NPI
DR. BRYAN RICHARD WOOD PHARMD 1306890686
MR. GEORGE ALEXIS MS R.PH. 1932154747
ANNA LUBARSKY PHARM D 1952334138
AAMINAH P KHAN PHARMD 1710652862
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.