# UMASS MEMORIAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UMass Memorial Medical Center Prescription Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891864039
- **Authorized official:** THERESE DAY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (774) 443-2848

## Contact information

- **Practice address:** 55 LAKE AVE N, WORCESTER, MA 01655-0002
- **Practice address phone:** (508) 421-1900
- **Mailing address:** 55 LAKE AVE N, WORCESTER, MA 01655-0002
- **Mailing address phone:** (508) 421-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | DS89788 | MA | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 03/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0407798 | — | MA |
| 01 | — | 2241646 | NCPDP NUMBER | MA |