IndividualActive
Alica Mom
NPI 1013788223 · Pharmacy Technician · Peabody, MA
Provider details
- NPI number
- 1013788223
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT101225 (MA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2 Centennial Dr
Peabody, MA 01960-7911
Phone: (978) 977-7744
Approximate (ZIP-level) locationGet directions
Mailing address
13 Varnum St
Haverhill, MA 01832-5216
Registry dates
- Enumerated
- 2024-01-16
- Last updated
- 2024-01-16
- Certified
- 2023-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.