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General NPI Number Information
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NPI Number | 1881810885
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Entity Type | Organization
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Legal Business Name | GREENWOOD PHARMACY INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 949 MAIN ST
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City | WAKEFIELD
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State | MA
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Zip | 01880-3927
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Country | US
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Telephone | 781-245-1838
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Fax | 781-245-0226
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Provider Business Mailing Address
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Address Line | 949 MAIN ST
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City | WAKEFIELD
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State | MA
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Zip | 01880-3927
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Country | US
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Telephone | 781-245-1838
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Fax | 781-245-0226
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARIE ESTHER VELARDO
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Credential | REG. PHARMACIST
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Telephone | 781-245-1838
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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 | 1249
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License Number State | MA
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