# MEDWIZ OF MASS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043965403
- **Authorized official:** ERIC NEWHOUSE (CEO)
- **Authorized official phone:** (845) 624-8080

## Contact information

- **Practice address:** 69 ELM ST, FOXBOROUGH, MA 02035-2531
- **Practice address phone:** (508) 772-8600
- **Practice address fax:** (508) 772-8601
- **Mailing address:** 167 ROUTE 304, BARDONIA, NY 10954-2050
- **Mailing address phone:** (508) 772-8600
- **Mailing address fax:** (508) 772-8601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 02/15/2022