Organization
NATICK FAMILY PHARMACY INC
Active
Other names
Natick Family Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JIMENEZ (CFO)
(508) 755-4173
Entity
Organization
Contact information
Practice address
67 UNION ST UNIT 1-1, NATICK, MA 01760-7700
(508) 720-4937
(508) 720-4973
Mailing address
100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158204
PK
—
Enumeration date
02/25/2016
Last updated
02/15/2019
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