Organization
TYNGSBORO FAMILY PHARMACY INC
Active
Other names
Tyngsboro Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA HUBBARD (OWNER)
(978) 226-5679
Entity
Organization
Contact information
Practice address
138 MIDDLESEX RD, TYNGSBORO, MA 01879-2711
(978) 226-5679
(978) 226-5802
Mailing address
138 MIDDLESEX RD, TYNGSBORO, MA 01879-2711
(978) 226-5679
(978) 226-5802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
DS89899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11009828A
—
MA
01
—
2170849
PK
—
Enumeration date
08/23/2017
Last updated
07/19/2018
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