Provider Demographics
NPI:1568998797
Name:STURDY MEMORIAL HOSPITAL, INC
Entity Type:Organization
Organization Name:STURDY MEMORIAL HOSPITAL, INC
Other - Org Name:STURDY MEMORIAL HOSPITAL OUTPATENT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF PATIENT CARE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-236-7150
Mailing Address - Street 1:211 PARK ST
Mailing Address - Street 2:OUTPATIENT PHARMACY
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3143
Mailing Address - Country:US
Mailing Address - Phone:484-467-3770
Mailing Address - Fax:781-333-6047
Practice Address - Street 1:211 PARK ST
Practice Address - Street 2:OUTPATIENT PHARMACY
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3143
Practice Address - Country:US
Practice Address - Phone:484-467-3770
Practice Address - Fax:781-333-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy