Provider Demographics
NPI:1043527112
Name:MEDI-SON SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MEDI-SON SOLUTIONS, LLC
Other - Org Name:MEDI-SON SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SON
Authorized Official - Middle Name:
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:781-352-2606
Mailing Address - Street 1:898 WASHINGTON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3446
Mailing Address - Country:US
Mailing Address - Phone:781-352-2606
Mailing Address - Fax:
Practice Address - Street 1:898 WASHINGTON ST
Practice Address - Street 2:SUITE B
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3446
Practice Address - Country:US
Practice Address - Phone:781-352-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-09
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6506520001332B00000X
MADS897493336C0003X
3336C0004X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2243323OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MA6506520001Medicare NSC