Provider Demographics
NPI:1730541376
Name:MITCHELL, TONI R (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TONI
Middle Name:R
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 FORBES RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-1028
Mailing Address - Country:US
Mailing Address - Phone:508-208-2141
Mailing Address - Fax:
Practice Address - Street 1:300 COLONY PLACE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-7235
Practice Address - Country:US
Practice Address - Phone:508-830-6766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH235052183500000X
MD20695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist