Provider Demographics
NPI:1396228391
Name:AYER PHARMACY INC.
Entity Type:Organization
Organization Name:AYER PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EZZIO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:978-732-3633
Mailing Address - Street 1:13 PARK ST
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-1120
Mailing Address - Country:US
Mailing Address - Phone:978-391-4061
Mailing Address - Fax:978-391-4586
Practice Address - Street 1:13 PARK ST
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1120
Practice Address - Country:US
Practice Address - Phone:978-391-4061
Practice Address - Fax:978-391-4586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy