The Forty-Four Willow Street Corp.
NPI #1184700098 in Malden, Massachusetts
Provider Information
- NPI Number
- 1184700098
- Entity Type
- Organization
- Organization Name
- The Forty-Four Willow Street Corp.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 44 WILLOW ST
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148-5832
- Phone
- (781) 324-0400
Authorized Official
- Name
- MR. LEONARD KRASKER, RPH
- Title
- OWNER/PRESIDENT
- Phone
- (781) 324-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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