# CHARLES RIVER COMMUNITY HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHARLES RIVER COMMUNITY HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891241816
- **Authorized official:** MATTHEW LOCKWOOD MULLANEY (CEO)
- **Authorized official phone:** (617) 783-0500

## Contact information

- **Practice address:** 495 WESTERN AVE, BRIGHTON, MA 02135-1007
- **Practice address phone:** (617) 208-1656
- **Practice address fax:** (617) 870-7459
- **Mailing address:** 495 WESTERN AVE, BRIGHTON, MA 02135-1007
- **Mailing address phone:** (617) 208-1656
- **Mailing address fax:** (617) 870-7459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | DS90057 | MA | Yes |
| 3336C0004X | Compounding Pharmacy | — | — | — |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 04/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110024306H/MA | — | MA |
| 01 | — | 2163915 | PK | — |