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Organization
MAIDA PHARMACY INC
Active
Organization
MAIDA PHARMACY INC
Active
Other names
MAIDA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MAIDA RPH (OWNER PHCST)
(781) 643-7840
Entity
Organization
Contact information
Practice address
121 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8615
(781) 643-7840
(781) 643-0174
Mailing address
121 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8615
(781) 643-7840
(781) 643-0174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
DS2822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497673
—
MA
01
—
2038563
PK
—
Enumeration date
10/31/2006
Last updated
03/06/2017
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