Organization
HAWTHORN PHARMA LLC
Active
Other names
Pharmahealth Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SREENIVAS ATHULURI (PHARMACIST)
(508) 998-7888
Entity
Organization
Contact information
Practice address
827 ROCKDALE AVE, NEW BEDFORD, MA 02740-2701
(508) 998-7888
(508) 997-9866
Mailing address
827 ROCKDALE AVE, NEW BEDFORD, MA 02740-2701
(508) 998-7888
(508) 998-9866
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110131979A
—
MA
Enumeration date
11/18/2017
Last updated
02/06/2023
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