Organization
WINCHENDON FAMILY PHARMACY INC
Active
Other names
Winchendon Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAM NAKHLESTANI (CORP OFFICE MANAGER)
(508) 755-4173
Entity
Organization
Contact information
Practice address
55 HOSPITAL DR, WINCHENDON, MA 01475-1820
(978) 297-5100
(978) 297-5101
Mailing address
100 GROVE ST, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084419/A
—
MA
01
—
2120793
PK
—
Enumeration date
06/22/2009
Last updated
12/11/2014
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