# CAMBRIDGE PUBLIC HEALTH COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAMBRIDGE HEALTH ALLIANCE OUTPATIENT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558427823
- **Authorized official:** MARIA KOSSILOS BS IN PHARMACY (PHARMACY DIRECTOR)
- **Authorized official phone:** (617) 806-8505

## Contact information

- **Practice address:** 1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
- **Practice address phone:** (617) 665-1438
- **Practice address fax:** (617) 665-1148
- **Mailing address:** 1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
- **Mailing address phone:** (617) 665-1438
- **Mailing address fax:** (617) 665-1148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 3051 | MA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 11/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0408506 | — | MA |
| 05 | — | 1211951 | — | MA |
| 01 | — | 2038790 | PK | — |