Victory Distributors Llc, NPI 1790893170
Community/Retail Pharmacy in Taunton, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1790893170
NPI Entity Type Organization
Provider Name Victory Distributors Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 255 Joseph E Warner Blvd, Taunton, MA, US
Provider Mailing Address Po Box 1000, Ms 3000, Portland, ME, US, 041045005
Is Sole Proprietor? No
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Organization Official

Official Name Michael Vail
Official Position PRESIDENT AND MANAGER
Phone 207-885-7454

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. DS89697
License State MA
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Business Address

Victory Distributors Llc
255 Joseph E Warner Blvd

Taunton, MA, US

Phone: 508-824-1057
Fax: 508-822-0140

Mailing Address

Victory Distributors Llc
Po Box 1000
Ms 3000
Portland, ME, US
ZIP 041045005
Phone: 207-885-7454
Fax: 704-645-6531

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2039562 PK 01
0497584 MA MEDICAID 05

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