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Contact Information

SOUTHCOAST HOSPITALS GROUP INC
206 MILL RD
SOUTHCOAST SPECIALTY PHARMACY
FAIRHAVEN, MA02719
 Phone: 508-973-3320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHCOAST HOSPITALS GROUP INC

NPI Number 1205532090
LBN Legal business name SOUTHCOAST HOSPITALS GROUP INC
Authorized official WADE BROUGHMAN - (EVP - CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2023
Last updated 02/02/2023 - About 3 years ago
Identifiers
MA Other DS89929 STATE BOARD OF PHARMACY LICENSE NUMBER
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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