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Organization
NATICK FAMILY PHARMACY INC
Active
Organization
NATICK FAMILY PHARMACY INC
Active
Other names
Natick Family Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JIMENEZ (CFO)
(508) 755-4173
Entity
Organization
Contact information
Practice address
67 UNION ST UNIT 1-1, NATICK, MA 01760-7700
(508) 720-4937
(508) 720-4973
Mailing address
100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158204
PK
—
Enumeration date
02/25/2016
Last updated
02/15/2019
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