Organization
WESTPORT APOTHECARY INC
Active
Other names
WESTPORT APOTHECARY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE BARKER BS IN PHARMACY (GENERAL MANAGER)
(508) 636-5957
Entity
Organization
Contact information
Practice address
784 MAIN RD, WESTPORT, MA 02790-4341
(508) 636-5957
(508) 636-6697
Mailing address
784 MAIN RD, WESTPORT, MA 02790-4341
(508) 636-5957
(508) 636-6697
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14815
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426733
—
MA
05
—
1942308317
—
RI
01
—
2039645
PK
—
05
—
WA00393
—
RI
Enumeration date
09/20/2006
Last updated
12/31/2014
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