Dr. Kathleen Bungay, PharmD, MS
Pharmacist, Psychiatric in Boston, MA. Individual provider (NPI-1).
NPI number1013136191
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013136191
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathleen Bungay
- Credential
- PharmD, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P1300X | Pharmacist, Psychiatric | 23710 | MA | Yes |
Other names
- Kathleen Bungay Massaro (Other Name)
Practice location
750 Washington StThe Health Institute, Box 345
Boston, MA 02111-1526
Phone 617-636-3292 · Fax 617-636-8351
Mailing address
10 Pilgrim RdMarblehead, MA 01945-1711
Phone 781-639-2584 · Fax 617-636-8351
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