Healthcare Provider Details

I. General information

NPI: 1194824599
Provider Name (Legal Business Name): HASKINS PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SCOTT DR
NORTON MA
02766-2724
US

IV. Provider business mailing address

PO BOX 397
NORTON MA
02766-0397
US

V. Phone/Fax

Practice location:
  • Phone: 508-285-4481
  • Fax: 508-285-8490
Mailing address:
  • Phone: 508-285-4481
  • Fax: 508-285-8490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1707
License Number StateMA

VIII. Authorized Official

Name: MR. MALCOLM HASKINS JR.
Title or Position: OWNER - PRESIDENT
Credential: RPH
Phone: 508-285-4481