Organization
VILLAGE PHARMACY OF MARBLEHEAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT STRASNICK (OWNER AND PRESIDENT)
(781) 631-8100
Entity
Organization
Contact information
Practice address
1 VILLAGE PLZ, MARBLEHEAD, MA 01945-2373
(781) 631-8100
(781) 639-2919
Mailing address
1 VILLAGE PLZ, MARBLEHEAD, MA 01945-2373
(781) 631-8100
(781) 639-2919
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
9701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418099
—
MA
01
—
2209701
OTHER ID NUMBER
—
Enumeration date
08/03/2006
Last updated
08/06/2012
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