Organization
EAST BAY PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY PETERSON RPH (PRESIDENT)
(508) 813-8623
Entity
Organization
Contact information
Practice address
1565 N MAIN ST STE 502, FALL RIVER, MA 02720-2972
(508) 813-8623
Mailing address
1565 N MAIN ST STE 502, FALL RIVER, MA 02720-2972
(508) 689-9320
(508) 689-9311
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
11/19/2021
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