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Organization
CHARLES RIVER COMMUNITY HEALTH INC
Active
Organization
CHARLES RIVER COMMUNITY HEALTH INC
Active
Other names
CHARLES RIVER COMMUNITY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LOCKWOOD MULLANEY (CEO)
(617) 783-0500
Entity
Organization
Contact information
Practice address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 208-1656
(617) 870-7459
Mailing address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 208-1656
(617) 870-7459
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
DS90057
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024306H/MA
—
MA
01
—
2163915
PK
—
Enumeration date
08/30/2016
Last updated
04/14/2026
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