Healthcare Provider Details

I. General information

NPI: 1023176476
Provider Name (Legal Business Name): ACTON PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

563 MASSACHUSETTS AVE
ACTON MA
01720-2903
US

IV. Provider business mailing address

563 MASSACHUSETTS AVE
ACTON MA
01720-2903
US

V. Phone/Fax

Practice location:
  • Phone: 978-263-3901
  • Fax: 978-263-2305
Mailing address:
  • Phone: 978-263-3901
  • Fax: 978-263-2305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2731
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SAAD DINNO
Title or Position: PRESIDENT
Credential: RPH
Phone: 978-263-3901