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Organization
AIRLINE DRUG INC
Active
Organization
AIRLINE DRUG INC
Active
Other names
LOUIS AND CLARK DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK MATTHEWS (PRESIDENT)
(413) 596-2431
Entity
Organization
Contact information
Practice address
2 MEDICAL CENTER DR, SPRINGFIELD, MA 01107-1270
(413) 784-3455
(413) 784-3589
Mailing address
2689 BOSTON RD, PO BOX 966, WILBRAHAM, MA 01095-1141
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1563
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435082
—
MA
01
—
2228268
OTHER ID NUMBER
—
Enumeration date
04/25/2006
Last updated
02/05/2008
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