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Organization
CROWN COLONY PHARMACY INC
Active
Organization
CROWN COLONY PHARMACY INC
Active
Other names
Crown Colony Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG DOAN (PHARMACY OWNER)
(617) 472-9000
Entity
Organization
Contact information
Practice address
500 CONGRESS ST STE 1B, QUINCY, MA 02169-0917
(617) 472-9000
(617) 472-8700
Mailing address
500 CONGRESS ST STE 1B, QUINCY, MA 02169-0917
(617) 472-9000
(617) 472-8700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS90247
MA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176293
PK
—
Enumeration date
03/02/2018
Last updated
04/18/2018
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