# MELROSE DRUG CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MELROSE DRUG CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740387562
- **Authorized official:** DONALD FOX (PRESIDENT)
- **Authorized official phone:** (781) 665-7400

## Contact information

- **Practice address:** 462 MAIN ST, MELROSE, MA 02176-3842
- **Practice address phone:** (781) 665-7400
- **Practice address fax:** (781) 665-7940
- **Mailing address:** 462 MAIN ST, MELROSE, MA 02176-3842
- **Mailing address phone:** (781) 665-7400
- **Mailing address fax:** (781) 665-7940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 2062 | MA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 06/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0497517 | — | MA |
| 01 | — | 2202062 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
