Maxi Drug South LP

NPI #1104926534 in Portsmouth, Rhode Island

Provider Information

NPI Number
1104926534
Entity Type
Organization
Organization Name
Maxi Drug South LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 25, 2006
Last Updated
Dec 13, 2011

Practice Location

Address
2456 EAST MAIN ROAD
ZIP Code
02871-4025
Phone
(401) 683-3062

Authorized Official

Name
JENNIFER ZOREK
Title
MANAGER ONLINE ADJUDICATION
Phone
(717) 975-5937

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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