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Organization
PHARMAHEALTH HAWTHORNE INC
Active
Organization
PHARMAHEALTH HAWTHORNE INC
Active
Other names
PHARMAHEALTH HAWTHORN
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TAVARES RPH (DIRECTOR OF COMPLIANCE)
(508) 998-8000
Entity
Organization
Contact information
Practice address
535 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 998-7888
(508) 998-9866
Mailing address
132 ALDEN RD, FAIRHAVEN, MA 02719-4721
(508) 998-8000
(508) 998-1145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
3473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423351
—
MA
01
—
2039593
PK
—
Enumeration date
09/21/2006
Last updated
03/05/2015
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