Organization
CROWN COLONY PHARMACY INC
Active
Other names
Crown Colony Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG DOAN (PHARMACY OWNER)
(617) 472-9000
Entity
Organization
Contact information
Practice address
500 CONGRESS ST STE 1B, QUINCY, MA 02169-0917
(617) 472-9000
(617) 472-8700
Mailing address
500 CONGRESS ST STE 1B, QUINCY, MA 02169-0917
(617) 472-9000
(617) 472-8700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS90247
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176293
PK
—
Enumeration date
03/02/2018
Last updated
04/18/2018
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