Organization
SOUTHWICK PHARMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVAGAMA SUNDARI DORAIRAJ (MANAGING MEMBER)
(413) 998-3446
Entity
Organization
Contact information
Practice address
549 COLLEGE HWY, UNIT B, SOUTHWICK, MA 01077-9821
(413) 998-3446
(413) 998-3157
Mailing address
549 COLLEGE HWY, UNIT B, SOUTHWICK, MA 01077-9821
(413) 998-3446
(413) 998-3157
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS90050
MA
Other
Enumeration date
07/18/2016
Last updated
07/19/2016
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