# FITCHBURG FAMILY PHARMACY, INC

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

## Provider details

- **NPI number:** 1174930846
- **Authorized official:** DANIEL JIMENEZ (CFO)
- **Authorized official phone:** (508) 755-4173

## Contact information

- **Practice address:** 326 NICHOLS RD, FITCHBURG, MA 01420-1914
- **Practice address phone:** (978) 878-8465
- **Practice address fax:** (978) 343-5577
- **Mailing address:** 100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
- **Mailing address phone:** (508) 755-4173
- **Mailing address fax:** (508) 755-4524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | DS89926 | MA | Yes |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 03/10/2016