Eaton Apothecary 11268

LBN: D.A.W., L.L.C.
Eaton Apothecary 11268 is an health care organization with primary practice located at 63 Main St , Brockton MA 02301. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. D.A.W., L.L.C. can be contacted via phone (508) 513-1414, or through Colbert, Susan via phone (401) 770-2751.

Contact Information

Primary practice address
63 Main St Brockton MA 02301
Phone: (508) 513-1414
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 770-2751

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1265570253
LBN Legal business name D.A.W., L.L.C.
DBA Doing business as Eaton Apothecary 11268
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 1st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265570253 NPPES
Massachusetts MEDICAID 110000015Q

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