Organization
CONCORD PHARMACY INC
Active
Other names
WEST CONCORD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAAD DINNO RPH (OWNER)
(978) 369-3100
Entity
Organization
Contact information
Practice address
1212 MAIN ST, CONCORD, MA 01742-3008
(978) 369-3100
(978) 371-1613
Mailing address
1212 MAIN ST, CONCORD, MA 01742-3008
(978) 369-3100
(978) 371-1613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3607
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422975
—
MA
01
—
2038524
PK
—
Enumeration date
10/19/2006
Last updated
06/09/2020
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