# WILLOW PHARMACY

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

## Provider details

- **NPI number:** 1891803060
- **Authorized official:** BRIAN STRASNICK (PRESIDENT)
- **Authorized official phone:** (781) 592-4350

## Contact information

- **Practice address:** 280 UNION ST, LYNN, MA 01901-1353
- **Practice address phone:** (781) 592-4350
- **Practice address fax:** (781) 268-0662
- **Mailing address:** 280 UNION ST, LYNN, MA 01901-1353
- **Mailing address phone:** (781) 592-4350
- **Mailing address fax:** (781) 268-0662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 3283 | MA | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0404659 | — | MA |
