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Organization
PHARMA SERVICE LLC
Active
Organization
PHARMA SERVICE LLC
Active
Other names
ETERNA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX BAEZ RPH (PHARMACIST)
(508) 817-5044
Entity
Organization
Contact information
Practice address
1183 ACUSHNET AVE, NEW BEDFORD, MA 02746-1905
(508) 817-5044
(774) 305-4011
Mailing address
PO BOX 2007, NEW BEDFORD, MA 02741-2007
(508) 817-5044
(774) 305-4011
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110148332A
—
MA
Enumeration date
12/07/2020
Last updated
12/30/2021
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