Healthcare Provider Details

I. General information

NPI: 1447363999
Provider Name (Legal Business Name): NORTH BERKSHIRE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 ASHLAND ST
NORTH ADAMS MA
01247-4510
US

IV. Provider business mailing address

PO BOX 778
NORTH ADAMS MA
01247-0778
US

V. Phone/Fax

Practice location:
  • Phone: 413-663-3711
  • Fax: 413-664-9730
Mailing address:
  • Phone: 413-663-3711
  • Fax: 413-664-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberDS2764
License Number StateMA

VIII. Authorized Official

Name: RICK CZARNECKI
Title or Position: GEN MANAGER
Credential:
Phone: 413-663-3711