# CROWN COLONY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crown Colony Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760984017
- **Authorized official:** HUNG DOAN (PHARMACY OWNER)
- **Authorized official phone:** (617) 472-9000

## Contact information

- **Practice address:** 500 CONGRESS ST STE 1B, QUINCY, MA 02169-0917
- **Practice address phone:** (617) 472-9000
- **Practice address fax:** (617) 472-8700
- **Mailing address:** 500 CONGRESS ST STE 1B, QUINCY, MA 02169-0917
- **Mailing address phone:** (617) 472-9000
- **Mailing address fax:** (617) 472-8700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | DS90247 | MA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/02/2018
- **Last updated:** 04/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176293 | PK | — |