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Organization
PELHAM COMMUNITY PHARMACY, INC
Active
Organization
PELHAM COMMUNITY PHARMACY, INC
Active
Other names
PELHAM COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BHUREN PATEL (OWNER)
(781) 966-2700
Entity
Organization
Contact information
Practice address
21 GREEN ST, WALTHAM, MA 02451-1646
(781) 966-2700
(781) 890-0234
Mailing address
21 GREEN ST, WALTHAM, MA 02451-1646
(781) 966-2700
(781) 890-0234
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
DS89647
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0407810
—
MA
01
—
2237837
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/19/2007
Last updated
11/22/2023
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