# SPRINGFIELD FAMILY PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417363516
- **Authorized official:** MATT MOEN PHARMD (VP OF PHARMACY OPERATIONS)
- **Authorized official phone:** (508) 755-4173

## Contact information

- **Practice address:** 175 CAREW ST, SUITE 100, SPRINGFIELD, MA 01104
- **Practice address phone:** (413) 209-8043
- **Practice address fax:** (413) 301-8493
- **Mailing address:** 175 CAREW ST, SUITE 100, SPRINGFIELD, MA 01104
- **Mailing address phone:** (413) 209-8043
- **Mailing address fax:** (413) 301-8493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | DS89925 | MA | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014
