# CONROY APOTHECARY INC

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

## Provider details

- **NPI number:** 1639239346
- **Authorized official:** MRS. TAMARA HERSH RPH (PRESIDENT)
- **Authorized official phone:** (508) 693-4558

## Contact information

- **Practice address:** 459 STATE RD., WEST TISBURY, MA 02575-0422
- **Practice address phone:** (508) 693-7070
- **Practice address fax:** (508) 693-7071
- **Mailing address:** PO BOX 422, WEST TISBURY, MA 02575-0422
- **Mailing address phone:** (508) 693-7070
- **Mailing address fax:** (508) 693-7071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1656 | MA | — |
| 3336C0003X | Community/Retail Pharmacy | 1656 | MA | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 12/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0436216 | — | MA |