Provider Demographics
NPI:1740645902
Name:PILLGRAMS
Entity type:Organization
Organization Name:PILLGRAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-AMO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:603-738-8181
Mailing Address - Street 1:64 CEDAR ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-3519
Mailing Address - Country:US
Mailing Address - Phone:603-738-8181
Mailing Address - Fax:
Practice Address - Street 1:64 CEDAR ST
Practice Address - Street 2:UNIT 1
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-3519
Practice Address - Country:US
Practice Address - Phone:603-738-8181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN87925251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care