Healthcare Provider Details

I. General information

NPI: 1396701579
Provider Name (Legal Business Name): L&C PRESCRIPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 06/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 BROOKDALE DR
SPRINGFIELD MA
01104-3207
US

IV. Provider business mailing address

155 BROOKDALE DR
SPRINGFIELD MA
01104-3207
US

V. Phone/Fax

Practice location:
  • Phone: 413-781-2996
  • Fax: 413-737-0693
Mailing address:
  • Phone: 413-781-2996
  • Fax: 413-737-0693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number2543
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number2543
License Number StateMA

VIII. Authorized Official

Name: CLARK E MATTHEWS
Title or Position: PRESIDENT
Credential:
Phone: 413-596-2431