Organization
IVG HOSPITALS INC
Active
Other names
IVG Veterinary Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MCDOWELL (PHARMACY MANAGER)
(781) 897-6936
Entity
Organization
Contact information
Practice address
20 CABOT RD, WOBURN, MA 01801-1004
(781) 897-6936
(781) 897-6937
Mailing address
20 CABOT RD, WOBURN, MA 01801-1004
(781) 897-6936
(781) 897-6937
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
DS89887
MA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148659
PK
—
Enumeration date
09/24/2013
Last updated
11/07/2016
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