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General NPI Number Information
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NPI Number | 1194552489
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Entity Type | Organization
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Legal Business Name | HARBOR HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 10 CORDAGE PARK CIR STE 115
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City | PLYMOUTH
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State | MA
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Zip | 02360-7318
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Country | US
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Telephone | 508-778-5470
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Fax |
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Provider Business Mailing Address
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Address Line | 250 MOUNT VERNON ST
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City | DORCHESTER
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State | MA
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Zip | 02125-3120
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Country | US
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Telephone | 617-533-2280
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Fax | 617-533-2296
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | VICTOR PAUL FOURNIER
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Credential | R.PH.
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Telephone | 617-533-2280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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