Organization
ATHOL PHARMACY, LLC
Active
Other names
Athol Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MACNEILL RPH (PRESIDENT)
(978) 830-0427
Entity
Organization
Contact information
Practice address
290 MAIN ST, ATHOL, MA 01331-2226
(978) 830-0427
(978) 830-0430
Mailing address
290 MAIN ST, ATHOL, MA 01331-2226
(978) 830-0427
(978) 830-0430
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
DS90085
MA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166237
PK
—
Enumeration date
11/07/2016
Last updated
05/31/2024
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