Organization
ISLAND DRUGS INC.
Active
Other names
Congdon's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BERTOLAMI RPH (OWNER)
(508) 228-0020
Entity
Organization
Contact information
Practice address
47 MAIN ST, NANTUCKET, MA 02554-3542
(508) 228-0020
(508) 325-7859
Mailing address
47 MAIN ST, NANTUCKET, MA 02554-3542
(508) 228-0020
(508) 325-7859
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1056
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431958
—
MA
Enumeration date
12/13/2006
Last updated
08/22/2020
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