# WEST RIVER PHARM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WEST RIVER PHARM INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235316910
- **Authorized official:** BRIAN CALLAHAN (CFO)
- **Authorized official phone:** (508) 573-5211

## Contact information

- **Practice address:** 140 LOCKE DR, STE C, MARLBOROUGH, MA 01752-7230
- **Practice address phone:** (508) 573-5200
- **Practice address fax:** (508) 490-8560
- **Mailing address:** 140 LOCKE DR, STE C, MARLBOROUGH, MA 01752-7230
- **Mailing address phone:** (508) 573-5200
- **Mailing address fax:** (508) 490-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 3572 | MA | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 12/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2039746 | PK | — |