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Organization
PACKARD MEDICAL PHARMACY, INC.
Active
Organization
PACKARD MEDICAL PHARMACY, INC.
Active
Other names
Packard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN DESMET RPH (OWNER PRESIDENT)
(978) 682-5122
Entity
Organization
Contact information
Practice address
128 PARKER ST, LAWRENCE, MA 01843-1537
(978) 682-5122
(978) 794-3061
Mailing address
128 PARKER ST, LAWRENCE, MA 01843-1537
(978) 682-5122
(978) 794-3061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
373
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411272
—
MA
Enumeration date
09/01/2006
Last updated
05/26/2010
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