Organization · Type 2 NPI

Southcoast Hospitals Group, Inc

Community/Retail Pharmacy · Fairhaven, MA

NPI number 1568876589 Active

Practice location

206 Mill Rd
Fairhaven, MA 02719-5208

Fax (508) 973-3325

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	V113 (MA)
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	V113 (MA)
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

20 other providers at this address

Other community/retail pharmacy providers in Fairhaven

See all in Fairhaven →

NPI record

NPI: 1568876589
Entity type: Organization (Type 2)
Issued: Jun 18, 2014
Last updated: Aug 17, 2023
Status: Active
Subpart: Yes of Southcoast Hospitals Group, Inc

Other names

<unavail>
Southcoast Specialty Pharmacy · doing business as

Authorized official

Wade Dudley Broughman
EVP-Chief Financial Officer
(508) 973-2908

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1568876589

Southcoast Hospitals Group, Inc's National Provider Identifier is 1568876589, issued on Jun 18, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fairhaven, MA. The record was last updated on Aug 17, 2023.