Organization Name: | NATICK FAMILY PHARMACY INC |
NPI Number: | 1083074660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN JIMENEZ (CFO,AO) |
Mailing Address: | 67 Union St Unit 1-1 Natick |
State: | MA US |
Postal Code: | 017607700 |
Phone Number: | 5087204937 |
Fax Number: | 5087204973 |
NPI Enumeration Date: | 02/25/2016 |
NPI Last Update Date: | 03/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |