Organization
J&G EINSIDLER CORPORATION
Active
Other names
610 Tremont Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY EINSIDLER RPH (OWNER)
(617) 262-3389
Entity
Organization
Contact information
Practice address
610 TREMONT ST, BOSTON, MA 02118-1600
(617) 262-3389
(617) 262-3913
Mailing address
610 TREMONT ST, BOSTON, MA 02118-1600
(617) 262-3389
(617) 262-3913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2808
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446769
—
MA
Enumeration date
12/10/2006
Last updated
04/20/2011
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