Organization
PHARMAHEALTH LONGTERM CARE INC
Active
Other names
Pharmahealth Specialty, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TAVARES RPH (DIRECTOR OF COMPLIANCE)
(508) 998-8000
Entity
Organization
Contact information
Practice address
132 ALDEN RD, FAIRHAVEN, MA 02719-4721
(508) 998-8000
(508) 998-1145
Mailing address
132 ALDEN RD, FAIRHAVEN, MA 02719-4721
(508) 998-8000
(508) 998-1145
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
DS89728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408140
—
MA
01
—
2039567
PK
—
Enumeration date
06/30/2006
Last updated
08/13/2015
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