Whalio Doctors

NPI 1295835627

Maxi Drug South LP

Organisation Community/Retail Pharmacy Pawtucket, RI

Practice location

Address
150 Mineral Spring Avenue, Pawtucket, RI 02860-2810
Phone
(401) 726-0547
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
Suppliers Taxonomy 3336C0003X Licence PHA00289 (RI)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1295835627
Entity type
Organization
NPI issued
25 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.