Basic Information
Provider Information
NPI: 1629344338
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LECHIARA
FirstName: CRISTINA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D., R.PH.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 104 MAIN ST
Address2:  
City: SAUGUS
State: MA
PostalCode: 019063337
CountryCode: US
TelephoneNumber: 7816320171
FaxNumber:  
Practice Location
Address1: 2250 HICKORY RD
Address2: SUITE 240
City: PLYMOUTH MEETING
State: PA
PostalCode: 194621047
CountryCode: US
TelephoneNumber: 6108341122
FaxNumber: 6108347525
Other Information
ProviderEnumerationDate: 03/27/2012
LastUpdateDate: 03/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XPH233731MAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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