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Contact Information

MVMEDSHOP, INC
117 BEACH ROAD
VINEYARD HAVEN, MA02568
 Phone: 508-693-7979
 Fax: 508-693-4002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MVMEDSHOP, INC

NPI # 1699847210
LBN Legal business name MVMEDSHOP, INC
Authorized official STEVEN PERZANOWSKI - (PHARMACY MANAGER/CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 09/29/2025 - About 8 months ago
Identifiers
MA License # CS3590
MA Medicaid 0440388
Other 2037029 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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