Provider Demographics
NPI:1972802536
Name:SHI, JUFANG (PHD PHARMD)
Entity type:Individual
Prefix:DR
First Name:JUFANG
Middle Name:
Last Name:SHI
Suffix:
Gender:F
Credentials:PHD PHARMD
Other - Prefix:DR
Other - First Name:SHIRLEY
Other - Middle Name:
Other - Last Name:SHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3 PIPER RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 PIPER RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-8106
Practice Address - Country:US
Practice Address - Phone:781-839-7397
Practice Address - Fax:855-829-6228
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273491835C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835C0205XPharmacy Service ProvidersPharmacistCritical CareGroup - Single Specialty