# SEASIDE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760804397
- **Authorized official:** MRS. TU-ANH THI VO PHARMD. (OWNER/PRESIDENT)
- **Authorized official phone:** (781) 284-6525

## Contact information

- **Practice address:** 169 SHIRLEY AVE, REVERE, MA 02151-3256
- **Practice address phone:** (781) 284-6525
- **Practice address fax:** (781) 284-6530
- **Mailing address:** 169 SHIRLEY AVE, REVERE, MA 02151-3256
- **Mailing address phone:** (781) 284-6525
- **Mailing address fax:** (781) 284-6530

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2014
- **Last updated:** 10/31/2014