Healthcare Provider Details

I. General information

NPI: 1306766423
Provider Name (Legal Business Name): SP PHARMACY CORP DBA RICHMOND PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 EASTERN AVE
LYNN MA
01902-1632
US

IV. Provider business mailing address

490 EASTERN AVE
LYNN MA
01902-1632
US

V. Phone/Fax

Practice location:
  • Phone: 781-592-4172
  • Fax:
Mailing address:
  • Phone: 781-592-4172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHEFALI CHAUDHARY
Title or Position: PRESIDENT
Credential:
Phone: 781-592-4172