Healthcare Provider Details

I. General information

NPI: 1063571891
Provider Name (Legal Business Name): HOPKINTON DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 MAIN ST
HOPKINTON MA
01748-1214
US

IV. Provider business mailing address

52 MAIN ST
HOPKINTON MA
01748-1214
US

V. Phone/Fax

Practice location:
  • Phone: 508-435-4441
  • Fax: 508-435-5983
Mailing address:
  • Phone: 508-435-4441
  • Fax: 508-435-5983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberDS8191
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DENNIS KATZ
Title or Position: OWNER
Credential:
Phone: 508-435-4441