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Organization
WINCHENDON FAMILY PHARMACY INC
Active
Organization
WINCHENDON FAMILY PHARMACY INC
Active
Other names
Winchendon Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAM NAKHLESTANI (CORP OFFICE MANAGER)
(508) 755-4173
Entity
Organization
Contact information
Practice address
55 HOSPITAL DR, WINCHENDON, MA 01475-1820
(978) 297-5100
(978) 297-5101
Mailing address
100 GROVE ST, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS89843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084419/A
—
MA
01
—
2120793
PK
—
Enumeration date
06/22/2009
Last updated
12/11/2014
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