# DEDHAM PHARMACY & MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEDHAM PHARMACY & MEDICAL SUPPLY
- **Other names:** Dedham LTC Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821772203
- **Legal business name:** DEDHAM PHARMACY & MEDICAL SUPPLY
- **Authorized official:** LEANNE JASSET RPH (PHARMACIST OWNER)
- **Authorized official phone:** (781) 326-7007

## Contact information

- **Practice address:** 596 PROVIDENCE HWY, DEDHAM, MA 02026-6804
- **Practice address phone:** (781) 326-7007
- **Practice address fax:** (781) 326-7006
- **Mailing address:** 596 PROVIDENCE HWY, DEDHAM, MA 02026-6804
- **Mailing address phone:** (781) 326-7007
- **Mailing address fax:** (781) 326-7006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2023
- **Last updated:** 06/14/2023