NPI 1871870642

Ameridose, LLC

Organisation Pharmacy Westborough, MA

Practice location

Address: 201 Flanders Rd, Westborough, MA 01581-1032
Phone: (508) 656-2633
Mailing address: 205 Flanders Rd, Westborough, MA 01581-1032

Authorised official

Name: Gregory A. Conigliaro
Title: V.P., G.M.
Phone: (508) 656-2633

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence DS89750 (MA)

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Registry record

NPI: 1871870642
Entity type: Organization
NPI issued: 8 Nov 2011
Record last updated: 8 Nov 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.