Organization
BIG Y FOODS INC
Active
Other names
BIG Y PHARMACY #43
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAPPAS (PHARMACY OPERATIONS MANAGER)
(413) 504-4492
Entity
Organization
Contact information
Practice address
100 MAYFIELD ST, WORCESTER, MA 01602-3453
(508) 890-8589
(508) 755-0135
Mailing address
100 MAYFIELD ST, WORCESTER, MA 01602-3453
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
DS3209
MA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404276
—
MA
01
—
2239831
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/12/2006
Last updated
01/31/2008
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