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Organization
ELCAD INC
Active
Organization
ELCAD INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD DAVID RPH (OWNER)
(508) 747-1247
Entity
Organization
Contact information
Practice address
235 SANDWICH ST, PLYMOUTH, MA 02360-2434
(508) 747-1247
(508) 747-3477
Mailing address
235 SANDWICH ST, PLYMOUTH, MA 02360-2434
(508) 747-1247
(508) 747-3477
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS2640
MA
3336C0004X
Compounding Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445231
—
MA
01
—
2230073
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/15/2006
Last updated
04/23/2012
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