SHORE DRUG

Restricted
SHORE DRUG is subject to Restricted. See the individual lists below.
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ID Details
ID NUMBER : 1912006677
ID TYPE : NPI
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SHORE DRUG Sanctioned By Below Authority
List NameList AuthorityEffective Date Status

country flagsSuspended or Excluded MassHealth Providers by MassHealth program

The Government of MassachusettsApr 5, 2011active