Organization
COUNTY SQUARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAM SAMIR AGAYBY (PRESIDENT)
(508) 742-8773
Entity
Organization
Contact information
Practice address
289 COUNTY ST, ATTLEBORO, MA 02703-3512
(508) 222-7620
(508) 226-7823
Mailing address
289 COUNTY ST, ATTLEBORO, MA 02703-3512
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15805
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422126
—
MA
01
—
2215805
OTHER ID NUMBER
—
Enumeration date
09/17/2006
Last updated
09/29/2021
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