Organization
BIG Y FOODS, INC.
Active
Other names
Big Y Pharmacy #101
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE L PAPPAS (SR MANAGER OF PHARMACY SERVICES)
(413) 504-4492
Entity
Organization
Contact information
Practice address
182 SUMMER ST, KINGSTON, MA 02364-1277
(781) 585-1326
Mailing address
2145 ROOSEVELT AVE, SPRINGFIELD, MA 01104-1650
(413) 504-4492
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS3404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020647Y
—
MA
Enumeration date
07/27/2016
Last updated
04/06/2017
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