Organization
HEALTHSTAR PHARMACY INC.
Active
Other names
Lenox Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH G MARTRAGONO (OWNER)
(413) 637-4700
Entity
Organization
Contact information
Practice address
5 WALKER ST, LENOX, MA 01240-2723
(413) 637-4700
(413) 637-4781
Mailing address
5 WALKER ST, LENOX, MA 01240-2723
(413) 637-4700
(413) 637-4781
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3344
MA
3336C0003X
Community/Retail Pharmacy
Primary
3344
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001079607
—
DE
05
—
003125566
—
CT
05
—
0050679
—
NJ
05
—
010267421
—
VA
05
—
02586056
—
NY
05
—
0404098
—
MA
05
—
1010874
—
VT
05
—
30703172
—
NH
05
—
4058950 00
—
MD
05
—
HP54396
—
RI
05
—
PENDING
—
ME
05
—
PH143MA
—
AK
Enumeration date
09/07/2006
Last updated
11/08/2011
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