Organization
SCITUATE PHARMACY INC
Active
Other names
SCITUATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKY TENAGLIA RPH (PRESIDENT)
(781) 925-2378
Entity
Organization
Contact information
Practice address
384 GANNETT RD, SCITUATE, MA 02066-1220
(781) 545-1020
(781) 545-8582
Mailing address
384 GANNETT RD, SCITUATE, MA 02066-1220
(781) 545-1020
(781) 545-8582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS2235
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022006
—
MA
01
—
2037323
PK
—
Enumeration date
01/23/2007
Last updated
03/07/2017
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