Organization
BALL PHARMACY CORP
Active
Other names
CROWN DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BALL RPH (PRESIDENT AND MANAGER)
(781) 598-9400
Entity
Organization
Contact information
Practice address
232 LEWIS ST, LYNN, MA 01902-4864
(781) 598-9400
(781) 598-9401
Mailing address
232 LEWIS ST, LYNN, MA 01902-4864
(781) 598-9400
(781) 598-9401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432407
—
MA
01
—
2224323
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/08/2007
Last updated
01/31/2013
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