Organization
SAMUELS PHARMACY INC
Active
Other names
SAMUELS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LYONS (MANG)
(617) 846-2200
Entity
Organization
Contact information
Practice address
46 WOODSIDE AVE, WINTHROP, MA 02152-2920
(617) 846-2200
(617) 846-8222
Mailing address
46 WOODSIDE AVE, WINTHROP, MA 02152-2920
(617) 846-2200
(617) 846-8222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422894
—
MA
01
—
2215095
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/16/2007
Last updated
06/04/2010
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