Maxi Drug South LP
NPI #1164521530 in North Providence, Rhode Island
Provider Information
- NPI Number
- 1164521530
- Entity Type
- Organization
- Organization Name
- Maxi Drug South LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 1665 MINERAL SPRING AVENUE
- City
- North Providence
- State
- Rhode Island
- ZIP Code
- 02904-4003
- Phone
- (401) 353-3113
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 Pharmacy — Community/Retail Pharmacy |
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