City Drug Inc
Organization Active NPI Pharmacy · Lynn, MA
NPI 1811255417 · NPPES record last updated Dec 28, 2015
Key facts
- NPI
- 1811255417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- DS89810 (MA)
- Legal business name
- CITY DRUG INC
- Practice address
- 22 State St
Lynn, MA 01901-1505 - Phone
- (781) 599-0900
- NPI assigned
- May 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Oleg Urim, BS PHARM
- Title
- President
- Phone
- (781) 405-3228
National Provider Directory
Locations
22 State St
Lynn, MA 01901
Phone (781) 599-0900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | DS89810 | MA | Yes |
Addresses
Primary practice location
22 State St
Lynn, MA 01901-1505
Mailing address
22 State St
Lynn, MA 01901-1505
Phone (781) 599-0900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135003 | Other | PK |
Other names
- State Street Pharmacy
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.