Organization
PERROTTA'S PHARMACY
Active
Other names
Perrotta's Super Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS PERROTTA RPH (OWNER/PRESIDENT)
(978) 682-2557
Entity
Organization
Contact information
Practice address
292 PROSPECT ST, LAWRENCE, MA 01841-2825
(978) 682-2557
(978) 685-7597
Mailing address
292 PROSPECT ST, LAWRENCE, MA 01841-2825
(978) 682-2557
(978) 685-7597
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1200
MA
3336C0004X
Compounding Pharmacy
1200
MA
3336L0003X
Long Term Care Pharmacy
1200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0430374
—
MA
Enumeration date
09/22/2006
Last updated
05/24/2011
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