Organization
NWJ CORP, INC
Active
Other names
HOME CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL WELCH (MANAGER)
(978) 535-3893
Entity
Organization
Contact information
Practice address
104 NEWBURY ST, PEABODY, MA 01960-3806
(978) 535-3893
Mailing address
104 NEWBURY ST, PEABODY, MA 01960-3806
(978) 535-3893
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154752
PK
—
Enumeration date
10/21/2015
Last updated
10/21/2015
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