Victory Distributors Llc
Community/Retail Pharmacy
55 Russell St, Waltham
Massachusetts, 02453-8517
781-642-7416 781-642-7442
Victory Distributors Llc is a Community/Retail Pharmacy in Waltham, Massachusetts. It is located at 55 Russell St, Waltham and it's customer support contact number is 781-642-7416. The authorized person of Victory Distributors Llc is Michael Vail who is President And Manager of the pharmacy and his contact number is 207-885-7454. Active license number of Victory Distributors Llc is DS3578 for Community/Retail Pharmacy in Massachusetts. Victory Distributors Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Victory Distributors Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Victory Distributors Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Victory Distributors Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 55 Russell St, Waltham,
Massachusetts, 02453-8517 |
| Phone: | 781-642-7416 |
| Fax: | 781-642-7442 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Michael Vail |
| Position: | President And Manager |
| Contact Number: | 207-885-7454 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1568647527 |
| NPI Enumeration Date: | 08 Jan, 2008 |
| NPI Last Update On: | 19 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Victory Distributors Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | DS3578 | Massachusetts | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0416169 | Medicaid | Massachusetts | |
| 2039747 | Other | | Pk |
Medicare Enrollment:
Victory Distributors Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3476764911 | O20100930057030 | Victory Distributors, Llc | DME SUPPLIER - PHARMACY |
Products Available:
Victory Distributors Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1000, Ms 3000
Portland, Maine |
| Zip: | 04104-5005 |
| Phone Number: | 207-885-7454 |
| Fax Number: | 704-645-6531 |
Patients can reach Victory Distributors Llc at
55 Russell St, Waltham, Massachusetts or can
call on customer care at 781-642-7416.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.