Organization
MEDWIZ OF MASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NEWHOUSE (CEO)
(845) 624-8080
Entity
Organization
Contact information
Practice address
69 ELM ST, FOXBOROUGH, MA 02035-2531
(508) 772-8600
(508) 772-8601
Mailing address
167 ROUTE 304, BARDONIA, NY 10954-2050
(508) 772-8600
(508) 772-8601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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