Healthcare Provider Details

I. General information

NPI: 1154431138
Provider Name (Legal Business Name): RPB PHARMACY INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 ACUSHNET AVE
NEW BEDFORD MA
02745-2803
US

IV. Provider business mailing address

132 ALDEN RD
FAIRHAVEN MA
02719-4721
US

V. Phone/Fax

Practice location:
  • Phone: 508-998-1121
  • Fax: 508-998-1122
Mailing address:
  • Phone: 508-998-8000
  • Fax: 508-998-1145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number3214
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number3214
License Number StateMA

VIII. Authorized Official

Name: MR. RICHARD BRISSON
Title or Position: OWNER
Credential: RPH
Phone: 508-998-8000