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Organization
WESTPORT APOTHECARY INC
Active
Organization
WESTPORT APOTHECARY INC
Active
Other names
WESTPORT APOTHECARY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE BARKER BS IN PHARMACY (GENERAL MANAGER)
(508) 636-5957
Entity
Organization
Contact information
Practice address
784 MAIN RD, WESTPORT, MA 02790-4341
(508) 636-5957
(508) 636-6697
Mailing address
784 MAIN RD, WESTPORT, MA 02790-4341
(508) 636-5957
(508) 636-6697
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
14815
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426733
—
MA
05
—
1942308317
—
RI
01
—
2039645
PK
—
05
—
WA00393
—
RI
Enumeration date
09/20/2006
Last updated
12/31/2014
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