Organization
FAMILY PHARMACY LTC INC
Active
Other names
Family Pharmacy LTC, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT LEE (MANAGER OF RECORD)
(978) 827-6316
Entity
Organization
Contact information
Practice address
63A MAIN STREET, ASHBURNHAM, MA 01430
(978) 827-6316
Mailing address
63A MAIN STREET, ASHBURNHAM, MA 01430
(978) 827-6316
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
DS89655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2242674
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/25/2009
Last updated
12/24/2009
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