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Organization
HARBOR HEALTH SERVICES INC
Active
Organization
HARBOR HEALTH SERVICES INC
Active
Other names
Neponset Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR FOURNIER (DIRECTOR OF PHARMACY)
(617) 533-2280
Entity
Organization
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 533-2290
(617) 533-2291
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 533-2290
(617) 533-2291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS89736
MA
3336M0002X
Mail Order Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027821B
—
MA
01
—
2126096
PK
—
Enumeration date
08/12/2010
Last updated
04/19/2017
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