Organization
MOMS PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN SCHABEL R.PH. (GENERAL MANAGER)
(631) 870-5129
Entity
Organization
Contact information
Practice address
75 AMORY ST, ROXBURY, MA 02119-1051
(617) 708-3922
(617) 708-3999
Mailing address
75 AMORY ST, ROXBURY, MA 02119-1051
(617) 708-3922
(617) 708-3999
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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