Organization
CONROY APOTHECARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA HERSH RPH (PRESIDENT)
(508) 693-4558
Entity
Organization
Contact information
Practice address
459 STATE RD., WEST TISBURY, MA 02575-0422
(508) 693-7070
(508) 693-7071
Mailing address
PO BOX 422, WEST TISBURY, MA 02575-0422
(508) 693-7070
(508) 693-7071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1656
MA
3336C0003X
Community/Retail Pharmacy
Primary
1656
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436216
—
MA
Enumeration date
12/11/2006
Last updated
12/26/2011
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