Organization
MVMEDSHOP, INC
Active
Other names
Vineyard Scripts
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JAMES PERZANOWSKI (PHARMACY MANAGER/CO-OWNER)
(508) 693-7979
Entity
Organization
Contact information
Practice address
117 BEACH ROAD, VINEYARD HAVEN, MA 02568
(508) 693-7979
(508) 693-4002
Mailing address
PO BOX 1749, VINEYARD HAVEN, MA 02568-0910
(508) 693-7979
(508) 693-4002
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CS3590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440388
—
MA
01
—
2037029
PK
—
Enumeration date
11/15/2006
Last updated
09/29/2025
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