Provider Demographics
NPI:1447547906
Name:AMHERST PHARMACY
Entity type:Organization
Organization Name:AMHERST PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:IOANNIS
Authorized Official - Middle Name:DIMOSTHENIS
Authorized Official - Last Name:NIKITAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:413-253-0387
Mailing Address - Street 1:381 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2391
Mailing Address - Country:US
Mailing Address - Phone:413-253-0387
Mailing Address - Fax:
Practice Address - Street 1:381 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2391
Practice Address - Country:US
Practice Address - Phone:413-253-0387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADS897753336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy