Shan Lor Drug

LBN: The Forty-Four Willow Street Corp.
Shan Lor Drug is an health care organization with primary practice located at 44 Willow St , Malden MA 02148-5832. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. The Forty-Four Willow Street Corp. can be contacted via phone (781) 324-0400, or through Krasker, Leonard via phone (781) 324-0400.

Contact Information

Primary practice address
44 Willow St Malden MA 02148-5832
Phone: (781) 324-0400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krasker, Leonard RPH
Phone: (781) 324-0400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9573 Massachusetts

Profile Details

NPI number 1184700098
LBN Legal business name The Forty-Four Willow Street Corp.
DBA Doing business as Shan Lor Drug
Authorized official Krasker, Leonard RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1184700098 NPPES
Massachusetts MEDICAID 0427977

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