Organization
FAMILY PHARMACY LOCATED AT HEYWOOD HOSPITAL, INC.
Active
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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