IndividualActive
Jerry Jacques, CPHT
NPI 1891914305 · Pharmacy Technician · Boston, MA
Provider details
- NPI number
- 1891914305
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- No
- License
- 5845 (MA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
300 Longwood Avenue
Boston, MA 02115
Phone: (617) 355-7395
Fax: (617) 730-0601
Approximate (ZIP-level) locationGet directions
Mailing address
203 Bigelow Street
Brighton, MA 02135
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.