Healthcare Provider Details
I. General information
NPI: 1336368497
Provider Name (Legal Business Name): HARTS PHARAMCISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2007
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
40 SPRING ST
WILLIAMSTOWN MA
01267-2853
US
IV. Provider business mailing address
PO BOX 475
WILLIAMSTOWN MA
01267-0475
US
V. Phone/Fax
- Phone: 413-458-5757
- Fax: 413-458-8548
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 14992 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
WIEHL
Title or Position: PRES
Credential:
Phone: 413-458-5757