Theatre Pharmacy

LBN: Theatre Pharmacy Inc
Theatre Pharmacy is an health care organization with primary practice located at 1784 Massachusetts Ave , Lexington MA 02420-5302. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Theatre Pharmacy Inc can be contacted via phone (781) 862-4480, or through Camelio, Stephen via phone (781) 862-4480.

Contact Information

Primary practice address
1784 Massachusetts Ave Lexington MA 02420-5302
Phone: (781) 862-4480
Fax: (781) 860-9567
Website:
Map and Directions
Authorized official contact:
Name: Camelio, Stephen RPH.
Phone: (781) 862-4480

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8761 Massachusetts
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1083765903
LBN Legal business name Theatre Pharmacy Inc
DBA Doing business as Theatre Pharmacy
Authorized official Camelio, Stephen RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 8th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083765903 NPPES
Other 2208761 OTHER ID NUMBER
MEDICAID 0414832 OTHER ID NUMBER

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