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Organization
TYNGSBORO FAMILY PHARMACY INC
Active
Organization
TYNGSBORO FAMILY PHARMACY INC
Active
Other names
Tyngsboro Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA HUBBARD (OWNER)
(978) 226-5679
Entity
Organization
Contact information
Practice address
138 MIDDLESEX RD, TYNGSBORO, MA 01879-2711
(978) 226-5679
(978) 226-5802
Mailing address
138 MIDDLESEX RD, TYNGSBORO, MA 01879-2711
(978) 226-5679
(978) 226-5802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
DS89899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11009828A
—
MA
01
—
2170849
PK
—
Enumeration date
08/23/2017
Last updated
07/19/2018
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