Organization
TREMONT DRUG CO INC
Active
Other names
TREMONT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KALIVAS (OWNER AND PRESIDENT)
(987) 531-1853
Entity
Organization
Contact information
Practice address
86 TREMONT ST, PEABODY, MA 01960-4430
(978) 531-1853
(978) 538-7240
Mailing address
86 TREMONT ST, PEABODY, MA 01960-4430
(978) 531-1853
(978) 538-7240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS11720
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496243
—
MA
01
—
2211720
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/09/2006
Last updated
08/03/2010
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