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THEATRE PHARMACY INC

Medical Equipment Supplier Yellow Pages

Lexington, Massachusetts

Provider NPI: 1083765903

Organization Information:
Organization Name:  THEATRE PHARMACY INC


Practice Location:
1784 MASSACHUSETTS AVE  LEXINGTON, MA 02420 US
Tel: 781-862-4480  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
Y3336C0003XSuppliers
Pharmacy
MA8761

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER220876101
0414832MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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