# BAYSTATE MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAYSTATE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881799427
- **Authorized official:** LAURIE MARTIN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (413) 794-9960

## Contact information

- **Practice address:** 11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
- **Practice address phone:** (413) 794-9960
- **Practice address fax:** (413) 794-9959
- **Mailing address:** 11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
- **Mailing address phone:** (413) 794-9960
- **Mailing address fax:** (413) 794-9959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | MA0052124 | MA | Yes |
| 3336C0003X | Community/Retail Pharmacy | MA0052124 | MA | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 03/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445266 | — | MA |
| 05 | — | 110020829/B | — | MA |
| 01 | — | 2236316 | NABP NUMBER | — |