Organization
DIVERSIFIED SPECIALTY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FANTASIA JR. (MEMBER)
(508) 877-0080
Entity
Organization
Contact information
Practice address
1451 CONCORD ST, STE 6, FRAMINGHAM, MA 01701-7782
(508) 877-0080
Mailing address
1451 CONCORD ST, STE 6, FRAMINGHAM, MA 01701-7782
(508) 877-0080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
09/17/2008
About Stedi
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