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Organization
BLACKWOOD PHARMACY INC
Active
Organization
BLACKWOOD PHARMACY INC
Active
Other names
BLACKWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SEELY RPH (OWNER)
(617) 471-3300
Entity
Organization
Contact information
Practice address
181 PARKINGWAY, QUINCY, MA 02169-5011
(617) 471-3300
(617) 471-4425
Mailing address
181 PARKINGWAY, QUINCY, MA 02169-5011
(617) 471-3300
(617) 471-4425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
3345
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406643
—
MA
05
—
0435376
—
MA
01
—
2228321
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2006
Last updated
03/26/2010
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