# TREMONT DRUG CO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TREMONT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366452328
- **Authorized official:** STEPHEN KALIVAS (OWNER AND PRESIDENT)
- **Authorized official phone:** (987) 531-1853

## Contact information

- **Practice address:** 86 TREMONT ST, PEABODY, MA 01960-4430
- **Practice address phone:** (978) 531-1853
- **Practice address fax:** (978) 538-7240
- **Mailing address:** 86 TREMONT ST, PEABODY, MA 01960-4430
- **Mailing address phone:** (978) 531-1853
- **Mailing address fax:** (978) 538-7240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | DS11720 | MA | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0496243 | — | MA |
| 01 | — | 2211720 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |