Organization
ANAWAN PHARMACY LLC
Active
Other names
Anawan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PLOUDE (OWNER/MANAGER/AO)
(774) 901-2445
Entity
Organization
Contact information
Practice address
224 WINTHROP ST, REHOBOTH, MA 02769-2650
(774) 901-2445
(774) 565-8481
Mailing address
224 WINTHROP ST, REHOBOTH, MA 02769-2650
(774) 901-2445
(774) 565-8481
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS90045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110115417A
—
MA
01
—
2160918
PK
—
Enumeration date
06/24/2016
Last updated
07/19/2018
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