# THE FORTY-FOUR WILLOW STREET CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Shan Lor Drug
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184700098
- **Authorized official:** MR. LEONARD KRASKER RPH (OWNER/PRESIDENT)
- **Authorized official phone:** (781) 324-0400

## Contact information

- **Practice address:** 44 WILLOW ST, MALDEN, MA 02148-5832
- **Practice address phone:** (781) 324-0400
- **Mailing address:** 44 WILLOW ST, MALDEN, MA 02148-5832
- **Mailing address phone:** (781) 324-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9573 | MA | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0427977 | — | MA |