# SKENDERIAN APOTHECARY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SKENDERIAN APOTHECARY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467462804
- **Authorized official:** ROBERT SKENDERIAN (MANAGER)
- **Authorized official phone:** (617) 354-5600

## Contact information

- **Practice address:** 1613 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4315
- **Practice address phone:** (617) 354-5600
- **Practice address fax:** (617) 492-8135
- **Mailing address:** 1613 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4315
- **Mailing address phone:** (617) 354-5600
- **Mailing address fax:** (617) 492-8135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | DS1058 | MA | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 12/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0496545 | — | MA |
| 01 | — | 2038476 | PK | — |