# UPHAM'S CORNER HEALTH COMMITTEE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UPHAM'S CORNER HEALTH COMMITTEE, INC.
- **Other names:** Upham's Community Care - Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659051795
- **Legal business name:** UPHAM'S CORNER HEALTH COMMITTEE, INC.
- **Authorized official:** JAGDEEP TRIVEDI (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (617) 740-8131

## Contact information

- **Practice address:** 415 COLUMBIA RD, DORCHESTER, MA 02125-2424
- **Practice address phone:** (617) 287-8000
- **Practice address fax:** (617) 282-8625
- **Mailing address:** 500 COLUMBIA RD \# MS 415-01, DORCHESTER, MA 02125-2322
- **Mailing address phone:** (617) 287-8000
- **Mailing address fax:** (617) 282-8625

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 07/24/2023