Provider Demographics
NPI:1629123732
Name:D&M POWERS INC.
Entity Type:Organization
Organization Name:D&M POWERS INC.
Other - Org Name:GREATER BOSTON LONG TERM CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:WESSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:617-325-0017
Mailing Address - Street 1:2150 PROVIDENCE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-2525
Mailing Address - Country:US
Mailing Address - Phone:617-325-0017
Mailing Address - Fax:617-327-7611
Practice Address - Street 1:2150 PROVIDENCE HIGHWAY
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2525
Practice Address - Country:US
Practice Address - Phone:617-325-0017
Practice Address - Fax:617-327-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33063336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy