Organization
MED WIN INC
Active
Other names
WINCHESTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN CAMUSO (OWNER)
(781) 729-1940
Entity
Organization
Contact information
Practice address
568 MAIN ST, WINCHESTER, MA 01890-1953
(781) 729-1940
(781) 729-3460
Mailing address
568 MAIN ST, WINCHESTER, MA 01890-1953
(781) 729-1940
(781) 729-3460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1107
MA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431613
—
MA
01
—
2215083
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
12/20/2010
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