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NPI Code Detail

MEDICARE: PROGRESSIVE PHARMACY SOLUTIONS

MEDICARE: PROGRESSIVE PHARMACY SOLUTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyDS89973MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12142133OTHERPK

General Provider Information

NPI Number : 1417380841
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROGRESSIVE PHARMACY SOLUTIONS
Provider Business Mailing Address
First Line : 147 PELHAM ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-655-5731
Fax Number : 978-655-5732
Provider Business Practice Location Address
First Line : 147 PELHAM ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-2060
Country : US
Telephone Number : 978-655-5731
Fax Number : 978-655-5732
Authorized Official
Title or Position : PRESIDENT
Name : PETER EDGERLY
Credential :
Telephone Number : 978-257-1387
Provider Enumeration Date : 08/21/2013
Last Update Date : 02/25/2016

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Directions to “PROGRESSIVE PHARMACY SOLUTIONS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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