Organization
SEASIDE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TU ANH T VO (PRESIDENT)
(781) 284-6525
Entity
Organization
Contact information
Practice address
169 SHIRLEY AVE, REVERE, MA 02151-3256
(781) 284-6525
(782) 128-4630
Mailing address
169 SHIRLEY AVE, REVERE, MA 02151-3256
(161) 772-1852
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760804397
NPI
—
Enumeration date
01/26/2024
Last updated
01/26/2024
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