# INMAN PHARMACY, INC

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

## Provider details

- **NPI number:** 1093814600
- **Authorized official:** MR. MICHAEL FRANCIS REPPUCCI R.PH. (PRESIDENT)
- **Authorized official phone:** (617) 876-4867

## Contact information

- **Practice address:** 1414 CAMBRIDGE STREET, CAMBRIDGE, MA 02139
- **Practice address phone:** (617) 876-4868
- **Practice address fax:** (617) 547-9521
- **Mailing address:** 1414 CAMBRIDGE STREET, CAMBRIDGE, MA 02139
- **Mailing address phone:** (617) 876-4868
- **Mailing address fax:** (617) 547-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 1111 | MA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110021534A | — | MA |
| 01 | — | 1111 | STATE PHARMACY NUMBER | MA |
| 01 | — | 2201111 | NABP | — |