Organization
WAREHAM PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH PAUL SANASARIAN R.PH. (REGISTRANT)
(508) 295-7399
Entity
Organization
Contact information
Practice address
2400 CRANBERRY HWY, WAREHAM, MA 02571-1043
(508) 295-7399
(508) 295-6163
Mailing address
2400 CRANBERRY HWY, WAREHAM, MA 02571-1043
(508) 295-7399
(508) 295-6163
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1499
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422622
—
MA
01
—
2216819
NCPDP
MA
Enumeration date
11/10/2006
Last updated
03/07/2023
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