Provider Demographics
NPI:1578813143
Name:MEDI-SON SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MEDI-SON SOLUTIONS, LLC
Other - Org Name:CAREPRO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:781-352-2606
Mailing Address - Street 1:343 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02170
Mailing Address - Country:US
Mailing Address - Phone:781-352-2602
Mailing Address - Fax:781-352-2506
Practice Address - Street 1:343 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02170
Practice Address - Country:US
Practice Address - Phone:781-352-2602
Practice Address - Fax:781-352-2506
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDI-SON SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-11
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy