Provider Demographics
NPI:1891101044
Name:REMEDIUM PHARMACY, LLC
Entity Type:Organization
Organization Name:REMEDIUM PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:IEPURE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:978-251-7070
Mailing Address - Street 1:119 DRUM HILL RD
Mailing Address - Street 2:#392
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1505
Mailing Address - Country:US
Mailing Address - Phone:978-251-7070
Mailing Address - Fax:978-251-7071
Practice Address - Street 1:2 VINAL SQ.
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863
Practice Address - Country:US
Practice Address - Phone:978-251-7070
Practice Address - Fax:978-251-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy