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Organization
SOUTHCOAST HOSPITALS GROUP INC
Active
Organization
SOUTHCOAST HOSPITALS GROUP INC
Active
Other names
Southcoast Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FLANAGAN (MANAGER)
(508) 961-5760
Entity
Organization
Contact information
Practice address
208 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-2420
(508) 973-2425
Mailing address
208 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 973-2420
(508) 973-2425
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS89872
MA
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138624
PK
—
Enumeration date
03/06/2013
Last updated
06/14/2013
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