Organization
LEOMINSTER FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAU HSU RPH (DIRECTOR OF OPERATIONS)
(508) 755-4173
Entity
Organization
Contact information
Practice address
843 CENTRAL ST, LEOMINSTER, MA 01453-4813
(978) 728-4429
(978) 798-1294
Mailing address
843 CENTRAL ST, LEOMINSTER, MA 01453-4813
(978) 728-4429
(978) 798-1294
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89922
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7443160001
MEDICARE PTAN
MA
Enumeration date
06/27/2014
Last updated
01/20/2016
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