# SOUTHWICK PHARMA, LLC

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

## Provider details

- **NPI number:** 1598118200
- **Authorized official:** SIVAGAMA SUNDARI DORAIRAJ (MANAGING MEMBER)
- **Authorized official phone:** (413) 998-3446

## Contact information

- **Practice address:** 549 COLLEGE HWY, UNIT B, SOUTHWICK, MA 01077-9821
- **Practice address phone:** (413) 998-3446
- **Practice address fax:** (413) 998-3157
- **Mailing address:** 549 COLLEGE HWY, UNIT B, SOUTHWICK, MA 01077-9821
- **Mailing address phone:** (413) 998-3446
- **Mailing address fax:** (413) 998-3157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | DS90050 | MA | Yes |

## Other

- **Enumeration date:** 07/18/2016
- **Last updated:** 07/19/2016
