Organization
FAMILY PHARMACY LOCATED AT HEYWOOD HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMID MOHAGHEGH RPH, MS, MHA (OWNER/PRESIDENT)
(508) 755-4173
Entity
Organization
Contact information
Practice address
250 GREEN ST, SUITE 101, GARDNER, MA 01440-1396
(978) 632-4533
(978) 632-4692
Mailing address
100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2963
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2237421
NCPDP PROVIDER ID NUMBER
MA
Enumeration date
08/31/2006
Last updated
12/02/2015
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