Organization
PHARMAHEALTH HAWTHORNE INC
Active
Other names
PHARMAHEALTH HAWTHORN
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA TAVARES RPH (DIRECTOR OF COMPLIANCE)
(508) 998-8000
Entity
Organization
Contact information
Practice address
535 FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1242
(508) 998-7888
(508) 998-9866
Mailing address
132 ALDEN RD, FAIRHAVEN, MA 02719-4721
(508) 998-8000
(508) 998-1145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423351
—
MA
01
—
2039593
PK
—
Enumeration date
09/21/2006
Last updated
03/05/2015
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