Organization
SOUTHCOAST HOSPITALS GROUP INC
Active
Other names
SOUTHCOAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FLANAGAN RPH (DIRECTOR AMBULATORY PHARMACY)
(508) 973-5760
Entity
Organization
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-5449
(508) 973-5456
Mailing address
101 PAGE ST, SLH -- LOBBY, NEW BEDFORD, MA 02740-3464
(508) 973-5449
(508) 973-5456
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2641
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445223
—
MA
01
—
2038148
PK
—
Enumeration date
07/25/2006
Last updated
04/16/2014
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