Healthcare Provider Details
I. General information
NPI: 1699647495
Provider Name (Legal Business Name): TOMS NEW PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
387 QUARRY ST
FALL RIVER MA
02723-1025
US
IV. Provider business mailing address
387 QUARRY ST
FALL RIVER MA
02723-1025
US
V. Phone/Fax
- Phone: 774-322-1335
- Fax: 508-617-4546
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
CORY
Title or Position: PRINCIPAL
Credential:
Phone: 774-322-1335