Provider Demographics
NPI:1922605344
Name:ANCHOR HOME MEDICAL, INC
Entity Type:Organization
Organization Name:ANCHOR HOME MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:J
Authorized Official - Last Name:CIAMPA
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:978-720-8170
Mailing Address - Street 1:409 CABOT ST STE 8
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-3175
Mailing Address - Country:US
Mailing Address - Phone:978-720-8170
Mailing Address - Fax:978-969-0272
Practice Address - Street 1:409 CABOT ST STE 8
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-3175
Practice Address - Country:US
Practice Address - Phone:978-720-8170
Practice Address - Fax:978-969-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies