Pawtucket Pharmacy Inc

LBN: Pawtucket Pharmacy Inc
Pawtucket Pharmacy Inc is an health care organization with primary practice located at 65 School St , Lowell MA 01854-3239. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pawtucket Pharmacy Inc can be contacted via phone (978) 458-3366, or through Audet, Bob via phone (978) 458-3366.

Contact Information

Primary practice address
65 School St Lowell MA 01854-3239
Phone: (978) 458-3366
Fax: (978) 454-5051
Website:
Map and Directions
Authorized official contact:
Name: Audet, Bob
Phone: (978) 458-3366

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 789 Massachusetts

Profile Details

NPI number 1134238355
LBN Legal business name Pawtucket Pharmacy Inc
DBA Doing business as Pawtucket Pharmacy Inc
Authorized official Audet, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 3rd, 2010 - about 16 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 1134238355 NPPES
Massachusetts MEDICAID 0417793
Massachusetts Other 2200789

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