Organization
DEERFIELD PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FYDENKEVEZ (RPH/OWNER)
(413) 665-8143
Entity
Organization
Contact information
Practice address
45 MAIN ST., S. DEERFIELD, MA 01373-1012
(413) 665-8143
Mailing address
45 MAIN ST., S. DEERFIELD, MA 01373-1012
(413) 665-8143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
BD3077307
MA
Other
Enumeration date
08/15/2006
Last updated
06/25/2008
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