Individual provider · NPI-1

Lara Abousamra, PharmD

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Boston, MA

NPI number1851183404

StatusActive

Last updated in NPPESMay 20, 2025

Details

NPI: 1851183404
Entity type: Individual (NPI-1)
Name: Lara Abousamra
Credential: PharmD
Sex: Female
Sole proprietor: Yes
Enumeration date: May 20, 2025
Certification date: May 20, 2025
Last updated: May 20, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1835P0018X	Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PH237787	MA	Yes
1835P2201X	Pharmacist, Ambulatory Care	PH237787	MA
1835X0200X	Pharmacist, Oncology	PH237787	MA

Practice location

450 Brookline Ave
Boston, MA 02215-5450

Phone 857-215-1311

Mailing address

10 Museum Way Apt 1629
Cambridge, MA 02141-1898

Phone 857-408-2171

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