Provider Demographics
NPI:1104837749
Name:TOMS PLACE NOW INC
Entity Type:Organization
Organization Name:TOMS PLACE NOW INC
Other - Org Name:STANDARD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:508-672-6911
Mailing Address - Street 1:246 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02724-3232
Mailing Address - Country:US
Mailing Address - Phone:508-672-6911
Mailing Address - Fax:508-677-2952
Practice Address - Street 1:246 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02724-3232
Practice Address - Country:US
Practice Address - Phone:508-672-6911
Practice Address - Fax:508-677-2952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2016-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
MADS34543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0401960Medicaid
2038852OtherPK
MA0401960Medicaid