# SEASIDE PHARMACY INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891557633
- **Authorized official:** TU ANH T VO (PRESIDENT)
- **Authorized official phone:** (781) 284-6525

## Contact information

- **Practice address:** 169 SHIRLEY AVE, REVERE, MA 02151-3256
- **Practice address phone:** (781) 284-6525
- **Practice address fax:** (782) 128-4630
- **Mailing address:** 169 SHIRLEY AVE, REVERE, MA 02151-3256
- **Mailing address phone:** (161) 772-1852

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 01/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1760804397 | NPI | — |