Joseph Barone

Individual provider Active NPI Community/Retail Pharmacy · Lunenburg, MA

NPI 1265037840 · NPPES record last updated Dec 2, 2020

Key facts

NPI
1265037840
Entity type
Individual (NPI type 1)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PH18863 (MA)
Practice address
454 Electric Ave
Lunenburg, MA 01462-2538
Phone
(978) 345-1064
NPI assigned
Dec 2, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PH18863MAMDCommunity/Retail Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH18863 MA Yes

Addresses

Primary practice location

454 Electric Ave
Lunenburg, MA 01462-2538

Mailing address

454 Electric Ave
Lunenburg, MA 01462-2538

Other providers in Lunenburg, MA

All providers in Lunenburg, MA · Community/Retail Pharmacy in Massachusetts

Sources for this page

Verify at the official NPI Registry.