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Organization
ROSLINDALE PHARMACY LTD
Active
Organization
ROSLINDALE PHARMACY LTD
Active
Other names
ROSLINDALE PHARMACY LTD
Organization subpart
No
Provider details
NPI number
Authorized official
PETER OKWESILI (DIR OF PHARM)
(617) 325-0300
Entity
Organization
Contact information
Practice address
452 HYDE PARK AVE, ROSLINDALE, MA 02131-3131
(617) 325-0300
(617) 325-2240
Mailing address
452 HYDE PARK AVE, ROSLINDALE, MA 02131-3131
(617) 325-0300
(617) 325-2240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
2973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448443
—
MA
01
—
2038795
PK
—
Enumeration date
10/07/2006
Last updated
01/20/2017
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