# SOUTH COVE COMMUNITY HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SCCHC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285482729
- **Authorized official:** MR. ERIC TIBERI (CEO)
- **Authorized official phone:** (617) 521-6708

## Contact information

- **Practice address:** 256 HARRISON AVE, BOSTON, MA 02111-1835
- **Practice address phone:** (617) 482-6419
- **Practice address fax:** (617) 482-6162
- **Mailing address:** 145 SOUTH ST, BOSTON, MA 02111-2826
- **Mailing address phone:** (617) 521-6708
- **Mailing address fax:** (617) 521-6799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2024
- **Last updated:** 05/09/2024