Organization
KAY-JAY PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WILUSZ (PRES)
(413) 743-5702
Entity
Organization
Contact information
Practice address
17 DEPOT ST, ADAMS, MA 01220-1858
(413) 743-5702
(413) 743-0710
Mailing address
17 DEPOT ST, ADAMS, MA 01220-1858
(413) 743-5702
(413) 743-0710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
22759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427209
—
MA
01
—
2222759
NCPDP NUMBER
—
Enumeration date
08/02/2005
Last updated
08/22/2020
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