Organization
WORCESTER FAMILY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMID MOHAGHEGH RPH, MS, MHA (OWNER)
(508) 755-4173
Entity
Organization
Contact information
Practice address
108 GROVE ST, SUITE 12, WORCESTER, MA 01605-2651
(508) 791-1100
(508) 791-8800
Mailing address
100 GROVE ST, SUITE 201, WORCESTER, MA 01605-2627
(508) 755-4173
(508) 755-4524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2241898
NCPDP PROVIDER ID NUMBER
MA
Enumeration date
06/15/2007
Last updated
12/02/2015
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