# S AND D BERNARDI INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOHNSON DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902827959
- **Authorized official:** STEPHEN BERNARD RPH (VP PHARMACY)
- **Authorized official phone:** (781) 893-3870

## Contact information

- **Practice address:** 577 MAIN ST, WALTHAM, MA 02452-5527
- **Practice address phone:** (781) 893-3870
- **Practice address fax:** (781) 899-1172
- **Mailing address:** 577 MAIN ST, WALTHAM, MA 02452-5527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 1549 | MA | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0434825 | — | MA |
| 01 | — | 2214118 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |