Organization
AIRLINE DRUG INC
Active
Other names
Louis & Clark Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK E MATTHEWS JR. (PRESIDENT)
(413) 596-2431
Entity
Organization
Contact information
Practice address
1481 MEMORIAL DR, CHICOPEE, MA 01020-3900
(413) 534-5677
(413) 536-2458
Mailing address
2689 BOSTON RD, PO BOX 966, WILBRAHAM, MA 01095-1141
(413) 596-2431
(413) 596-2966
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1151
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419826
—
MA
Enumeration date
04/25/2006
Last updated
02/05/2008
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