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Organization
WEST RIVER PHARM INC
Active
Organization
WEST RIVER PHARM INC
Active
Other names
WEST RIVER PHARM INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CALLAHAN (CFO)
(508) 573-5211
Entity
Organization
Contact information
Practice address
140 LOCKE DR, STE C, MARLBOROUGH, MA 01752-7230
(508) 573-5200
(508) 490-8560
Mailing address
140 LOCKE DR, STE C, MARLBOROUGH, MA 01752-7230
(508) 573-5200
(508) 490-8560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
3572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039746
PK
—
Enumeration date
01/25/2008
Last updated
12/20/2016
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