# MVMEDSHOP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vineyard Scripts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699847210
- **Authorized official:** STEVEN JAMES PERZANOWSKI (PHARMACY MANAGER/CO-OWNER)
- **Authorized official phone:** (508) 693-7979

## Contact information

- **Practice address:** 117 BEACH ROAD, VINEYARD HAVEN, MA 02568
- **Practice address phone:** (508) 693-7979
- **Practice address fax:** (508) 693-4002
- **Mailing address:** PO BOX 1749, VINEYARD HAVEN, MA 02568-0910
- **Mailing address phone:** (508) 693-7979
- **Mailing address fax:** (508) 693-4002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | CS3590 | MA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 09/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0440388 | — | MA |
| 01 | — | 2037029 | PK | — |