Family Pharmacy Located At Heywood Hospital, INC.
Durable Medical Equipment & Medical Supplies in Gardner, MA. Organization (NPI-2).
NPI number1619089745
StatusActive
Last updated in NPPESDec 2, 2015
Details
- NPI
- 1619089745
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Pharmacy Located At Heywood Hospital, INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Dec 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2963 | MA | Yes |
Practice location
250 Green StSuite 101
Gardner, MA 01440-1396
Phone 978-632-4533 · Fax 978-632-4692
Mailing address
100 Grove StSuite 201
Worcester, MA 01605-2627
Phone 508-755-4173 · Fax 508-755-4524
Authorized official
Hamid Mohaghegh
Owner/President
5087554173
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