Organization
ERAJ RX CORP
Active
Other names
Neighborhood Healthmart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JITENDRA G PATEL (OWNER/PHARMACY MANAGER)
(978) 794-1111
Entity
Organization
Contact information
Practice address
7-9 CROSS ST, METHEUN, MA 01844
(978) 794-1111
Mailing address
7-9 CROSS ST, METHEUN, MA 01844
(978) 794-1111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PENIDNG
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S100114840
MEDICARE PTAN
MA
Enumeration date
05/23/2012
Last updated
07/27/2015
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