Organization
SOUTHCOAST HOSPITALS GROUP INC
Active
Other names
Southcoast Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FLANAGAN (MANAGER)
(508) 973-5760
Entity
Organization
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-7375
(508) 973-7377
Mailing address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 973-7375
(508) 973-7377
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89859
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137803
PK
—
Enumeration date
09/14/2012
Last updated
03/18/2016
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