Organization
GEORGE A MARRA DBA MEDICAL PHARMACY
Active
Other names
MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MARRA PHARM D (PHARMACIST)
(781) 344-2311
Entity
Organization
Contact information
Practice address
769 WASHINGTON ST, STOUGHTON, MA 02072-2952
(781) 344-2311
(508) 946-5040
Mailing address
769 WASHINGTON ST, STOUGHTON, MA 02072-2952
(781) 344-2311
(508) 946-5040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1709
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2213659
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
02/11/2013
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