Provider Demographics
NPI:1902411747
Name:HASKELL, ALYSSA LI (PHARMD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:LI
Last Name:HASKELL
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 NORWOOD PARK S
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4659
Mailing Address - Country:US
Mailing Address - Phone:781-531-8782
Mailing Address - Fax:844-633-6463
Practice Address - Street 1:320 NORWOOD PARK S
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4659
Practice Address - Country:US
Practice Address - Phone:888-633-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH236482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist