Healthcare Provider Details

I. General information

NPI: 1568889707
Provider Name (Legal Business Name): US PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 PARK AVE STE 289
WORCESTER MA
01609-2246
US

IV. Provider business mailing address

210 PARK AVE STE 289
WORCESTER MA
01609-2246
US

V. Phone/Fax

Practice location:
  • Phone: 800-970-8924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DR. ELISHA S MARSCH
Title or Position: COO
Credential: MD
Phone: 800-970-8924