Organization
PHARMACEUTICALLY ELEGANT INC
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN AMBREFE (PRESIDENT)
(781) 334-3133
Entity
Organization
Contact information
Practice address
590 MAIN ST, LYNNFIELD, MA 01940-1712
(781) 334-3133
(781) 334-3838
Mailing address
590 MAIN ST, LYNNFIELD, MA 01940-1712
(781) 334-3133
(781) 334-3838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2940
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403938
—
MA
01
—
2038509
PK
—
Enumeration date
07/10/2006
Last updated
09/19/2025
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