Provider Demographics
NPI:1386070365
Name:DUBIN, HAROLD I (RPH)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:I
Last Name:DUBIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LEGACY BLVD
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2653
Mailing Address - Country:US
Mailing Address - Phone:781-251-9974
Mailing Address - Fax:
Practice Address - Street 1:200 LEGACY BLVD
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2653
Practice Address - Country:US
Practice Address - Phone:781-251-9974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17048183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist