Organization
FITCHBURG FAMILY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JIMENEZ (CFO)
(508) 755-4173
Entity
Organization
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8465
(978) 343-5577
Mailing address
100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89926
MA
Other
Enumeration date
07/15/2014
Last updated
03/10/2016
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