Organization
WEST RIVER PHARM INC
Active
Other names
WEST RIVER PHARM INC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CALLAHAN (CFO)
(508) 573-5211
Entity
Organization
Contact information
Practice address
140 LOCKE DR, STE C, MARLBOROUGH, MA 01752-7230
(508) 573-5200
(508) 490-8560
Mailing address
140 LOCKE DR, STE C, MARLBOROUGH, MA 01752-7230
(508) 573-5200
(508) 490-8560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
3572
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2039746
PK
—
Enumeration date
01/25/2008
Last updated
12/20/2016
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