# WAYLAND APOTHECARY

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

## Provider details

- **NPI number:** 1497809792
- **Authorized official:** MR. DAVID BECK RPH (OWNER)
- **Authorized official phone:** (508) 665-2828

## Contact information

- **Practice address:** 302 COMMONWEALTH RD, WAYLAND, MA 01778-5006
- **Practice address phone:** (508) 655-2828
- **Practice address fax:** (508) 650-9052
- **Mailing address:** 302 COMMONWEALTH RD, WAYLAND, MA 01778-5006
- **Mailing address phone:** (508) 655-2828
- **Mailing address fax:** (508) 650-9052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 1438 | MA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0434116 | — | MA |