# CAMBRIDGE PUBLIC HEALTH COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAMBRIDGE HLTH ALLIANCE OUTPATIENT PHCY EAST CAMBRIDGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164878013
- **Authorized official:** MRS. MARIA KOSSILOS MARIA KOSSILOS BS IN (ASSOCIATE CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (617) 806-8505

## Contact information

- **Practice address:** 163 GORE ST, EAST CAMBRIDGE, MA 02141-1119
- **Practice address phone:** (617) 499-6690
- **Practice address fax:** (617) 499-6691
- **Mailing address:** 163 GORE ST, EAST CAMBRIDGE, MA 02141-1119
- **Mailing address phone:** (617) 499-6690
- **Mailing address fax:** (617) 499-6691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | DS90039 | MA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 11/23/2020