Organization
MEDICINE STORE INC.
Active
Other names
The Medicine Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CARPINELLA RPH (OWNER)
(781) 246-3527
Entity
Organization
Contact information
Practice address
409 LOWELL ST, WAKEFIELD, MA 01880-1962
(781) 246-3527
(781) 246-8542
Mailing address
409 LOWELL ST, WAKEFIELD, MA 01880-1962
(781) 246-3527
(781) 246-8542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3372
MA
3336L0003X
Long Term Care Pharmacy
3372
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407011
—
MA
Enumeration date
12/18/2006
Last updated
10/02/2013
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