Whalio Doctors

NPI 1417056888

Maxi Drug South LP

Organisation Community/Retail Pharmacy Bristol, RI

Practice location

Address
580 Metacom Avenue, Bristol, RI 02809-5182
Phone
(401) 253-2723
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 PHA00285 (RI)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1417056888
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.