Organization
PRESCRIPTION SHOPPE INC
Active
Other names
Prescription Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
VASHKAR KARIM (AUTHORIZED REP/OWNER)
(617) 240-0271
Entity
Organization
Contact information
Practice address
378 BROADWAY, EVERETT, MA 02149-3426
(617) 389-7440
(617) 389-1004
Mailing address
378 BROADWAY, EVERETT, MA 02149-3426
(617) 389-7440
(617) 389-1004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS6654
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407151
—
MA
01
—
2135268
PK
—
Enumeration date
01/28/2007
Last updated
10/03/2013
Update your record
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