# CHARLES RIVER COMMUNITY HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Charles River Community Health Waltham Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134063449
- **Authorized official:** MATTHEW LOCKWOOD MULLANEY (CEO)
- **Authorized official phone:** (617) 783-0500

## Contact information

- **Practice address:** 43 FOUNDRY AVENUE, SUITE 110, WALTHAM, MA 02453
- **Practice address phone:** (781) 693-3895
- **Mailing address:** 495 WESTERN AVE, BRIGHTON, MA 02135-1007
- **Mailing address phone:** (617) 870-7448
- **Mailing address fax:** (617) 870-7459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2026
- **Last updated:** 04/16/2026