# WOODMARK PHARMACY OF MASSACHUSETTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodmark Pharmacy of Massachusetts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750629721
- **Authorized official:** DR. JEFFREY RUBIN (CO- CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (716) 817-5075

## Contact information

- **Practice address:** 69 HICKORY DR, SUITE 1, WALTHAM, MA 02451-1011
- **Practice address phone:** (781) 373-9199
- **Practice address fax:** (781) 609-2484
- **Mailing address:** 500 SENECA ST STE 100, BUFFALO, NY 14204-1963
- **Mailing address phone:** (716) 633-3900
- **Mailing address fax:** (781) 609-2484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | DS89875 | MA | Yes |

## Other

- **Enumeration date:** 01/24/2013
- **Last updated:** 01/19/2023