Organization
ROYAL PALM SPECIALTY PHARMACY LLC
Active
Other names
Royal Palm Specialty Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES RUBIN RPH (PRES)
(508) 461-4045
Entity
Organization
Contact information
Practice address
118 MAIN ST, WEBSTER, MA 01570-5205
(508) 461-4045
(508) 461-4044
Mailing address
118 MAIN ST, WEBSTER, MA 01570-5205
(508) 461-4045
(508) 461-4044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89765
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2243537
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2011
Last updated
11/06/2012
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