# APOTHECARE OF PLYMOUTH INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487747655
- **Authorized official:** SUSAN NELSON RPH (PHARMACY MANAGER)
- **Authorized official phone:** (508) 732-9700

## Contact information

- **Practice address:** 121 CAMELOT DR STE 3, PLYMOUTH, MA 02360-3037
- **Practice address phone:** (508) 732-9700
- **Practice address fax:** (508) 732-9788
- **Mailing address:** 121 CAMELOT DR STE 3, PLYMOUTH, MA 02360-3037
- **Mailing address phone:** (508) 732-9700
- **Mailing address fax:** (508) 732-9788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3481 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 3481 | MA | — |
| 3336C0004X | Compounding Pharmacy | 3481 | MA | — |
| 3336L0003X | Long Term Care Pharmacy | 3481 | MA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 05/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 11074421A | — | MA |
| 01 | — | 2241595 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 01 | — | 3481 | STATE LICENSE | MA |