# BROCKTON PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brockton Pharmacy, Bright Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295218964
- **Authorized official:** DR. FREDERICK N ALAMBA PHARMD, MBA, RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (774) 517-5528

## Contact information

- **Practice address:** 90 MAIN ST UNIT A, BROCKTON, MA 02301-4011
- **Practice address phone:** (774) 517-5528
- **Practice address fax:** (774) 517-5568
- **Mailing address:** 90 MAIN ST UNIT A, BROCKTON, MA 02301-4011
- **Mailing address phone:** (774) 517-5528
- **Mailing address fax:** (774) 517-5568

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2018
- **Last updated:** 01/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110148058A | — | MA |