| Organization Name: | MERRIMACK MEDICAL & WALK IN S |
| NPI Number: | 1013284637 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JODY MICHAUD (PRACTICE MANAGER) |
| Mailing Address: | 25 Marston St Ste 304 Lawrence |
| State: | MA US |
| Postal Code: | 01841 |
| Phone Number: | 9786883100 |
| Fax Number: | 9786883133 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 10/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |