OrganizationActive
The Commonwealth of Massachusetts
NPI 1174358261 · Mail Order Pharmacy · Tewksbury, MA
Provider details
- NPI number
- 1174358261
- Entity type
- Organization
- Primary specialty
- Mail Order PharmacySuppliers
- Parent organization
- The Commonwealth of Massachusetts
- Authorized official
- Donald Rogers, Chief of Pharmacy
Practice location
369 East Street
Tewksbury, MA 01876-1950
Phone: (978) 858-2114
Fax: (978) 858-2110
Mailing address
369 East Street
Tewksbury, MA 01876-1950
Registry dates
- Enumerated
- 2024-09-06
- Last updated
- 2024-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.