| NPI | 1912006677 |
|---|---|
| Doing Business As | SHORE DRUG |
| Entity Type | Organization |
| Authorized Contact | DANA SHORE Owner 617-484-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1285) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2010-06-03 |