Organization
SMARTPAK EQUINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MCCAIN (CHIEF FINANCIAL OFFICER)
(774) 773-1100
Entity
Organization
Contact information
Practice address
40 GRISSOM ROAD, SUITE 500, PLYMOUTH, MA 02360-7205
(800) 431-4194
(800) 431-4179
Mailing address
40 GRISSOM RD, SUITE 500, PLYMOUTH, MA 02360-7205
(800) 431-4194
(800) 431-4179
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
3320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2241848
NCPDP
MA
Enumeration date
08/09/2007
Last updated
08/09/2007
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