| NPI | 1982008967 |
|---|---|
| Doing Business As | MASSPACK LTC |
| Former Legal Business Name | CENTRAL STREET PHARMACY INC |
| Other Name | CENTRAL STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN MACNEILL President 351-207-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-05-31 |