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Organization
BALL PHARMACY CORP
Active
Organization
BALL PHARMACY CORP
Active
Other names
CROWN DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BALL RPH (PRESIDENT AND MANAGER)
(781) 598-9400
Entity
Organization
Contact information
Practice address
232 LEWIS ST, LYNN, MA 01902-4864
(781) 598-9400
(781) 598-9401
Mailing address
232 LEWIS ST, LYNN, MA 01902-4864
(781) 598-9400
(781) 598-9401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
1279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432407
—
MA
01
—
2224323
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2007
Last updated
01/31/2013
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