NPI 1164521530
Maxi Drug South LP
Practice location
- Address
- 1665 Mineral Spring Avenue, North Providence, RI 02904-4003
- Phone
- (401) 353-3113
- Mailing address
- 200 Newberry Commons, Etters, PA 17319-9363
Authorised official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1164521530
- Entity type
- Organization
- NPI issued
- 22 Sep 2006
- Record last updated
- 13 Dec 2011
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.