Organization
MARYESTHER INC
Active
Other names
SMITH DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
MARYESTHER FOURNIER BS RPH (PRESIDENT AND TREASURER)
(781) 245-0380
Entity
Organization
Contact information
Practice address
390 MAIN ST, WAKEFIELD, MA 01880-5015
(781) 245-0380
(781) 245-1350
Mailing address
390 MAIN ST, WAKEFIELD, MA 01880-5015
(781) 245-0380
(781) 245-1350
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2198
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413917
—
MA
01
—
2037242
PK
—
Enumeration date
04/19/2007
Last updated
11/07/2016
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