Organization
MAIDA PHARMACY INC
Active
Other names
MAIDA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MAIDA RPH (OWNER PHCST)
(781) 643-7840
Entity
Organization
Contact information
Practice address
121 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8615
(781) 643-7840
(781) 643-0174
Mailing address
121 MASSACHUSETTS AVE, ARLINGTON, MA 02474-8615
(781) 643-7840
(781) 643-0174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
DS2822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497673
—
MA
01
—
2038563
PK
—
Enumeration date
10/31/2006
Last updated
03/06/2017
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