Organization
PACKARD MEDICAL PHARMACY, INC.
Active
Other names
Packard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN DESMET RPH (OWNER PRESIDENT)
(978) 682-5122
Entity
Organization
Contact information
Practice address
128 PARKER ST, LAWRENCE, MA 01843-1537
(978) 682-5122
(978) 794-3061
Mailing address
128 PARKER ST, LAWRENCE, MA 01843-1537
(978) 682-5122
(978) 794-3061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
373
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411272
—
MA
Enumeration date
09/01/2006
Last updated
05/26/2010
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