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General NPI Number Information
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NPI Number | 1972008936
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Entity Type | Organization
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Legal Business Name | WATCH CITY PHARMACY
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 923 MAIN ST
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City | WALTHAM
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State | MA
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Zip | 02451-7416
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Country | US
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Telephone | 978-201-5247
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Fax | 781-570-2327
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Provider Business Mailing Address
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Address Line | 15 SUDBURY RD
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City | STOW
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State | MA
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Zip | 01775-1511
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Country | US
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Telephone | 978-201-5247
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN MACNEILL
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Credential |
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Telephone | 978-201-5247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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