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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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