Whalio Doctors

NPI 1003049131

Victory Distributors, LLC

Organisation Community/Retail Pharmacy Peabody, MA

Practice location

Address
637 Lowell St, Peabody, MA 01960-2318
Phone
(978) 536-3222
Fax
(978) 536-3223
Mailing address
PO Box 1000 Ms3000, Portland, ME 04104-5005

Authorised official

Name
Elwen Eaton
Title
Pharmacy Insurance Specialist
Phone
(207) 885-7454

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence 3361 (MA)

Registry record

NPI
1003049131
Entity type
Organization
NPI issued
24 Aug 2009
Record last updated
18 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.