Provider Demographics
NPI:1285103804
Name:DOSTERT AND DOVE,LLC
Entity type:Organization
Organization Name:DOSTERT AND DOVE,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:DOSTERT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:781-460-2000
Mailing Address - Street 1:6 FISKE LN
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-1673
Mailing Address - Country:US
Mailing Address - Phone:617-257-0321
Mailing Address - Fax:651-855-5295
Practice Address - Street 1:152 LYNNWAY STE 1C
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-3420
Practice Address - Country:US
Practice Address - Phone:617-257-0321
Practice Address - Fax:651-855-5295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOSTERTANDDOVE,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-14
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy