Organization
MELROSE DRUG CENTER INC
Active
Other names
MELROSE DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD FOX (PRESIDENT)
(781) 665-7400
Entity
Organization
Contact information
Practice address
462 MAIN ST, MELROSE, MA 02176-3842
(781) 665-7400
(781) 665-7940
Mailing address
462 MAIN ST, MELROSE, MA 02176-3842
(781) 665-7400
(781) 665-7940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497517
—
MA
01
—
2202062
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
06/03/2010
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