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NPI 1114792272

IndividualActive

Jacob Dasilva

NPI 1114792272 · Pharmacy Technician · New Bedford, MA

Provider details

NPI number: 1114792272
Entity type: Individual
Primary specialty: Pharmacy TechnicianPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: PI168146 (MA)

Practice location

1207 Acushnet Ave

New Bedford, MA 02746-2018

Phone: (508) 984-5402

More MA providers

Mailing address

120 Clara St

New Bedford, MA 02744-2248

Registry dates

Enumerated: 2023-11-20
Last updated: 2023-11-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jacob Dasilva — NPI 1114792272, New Bedford, MA | NPI Central