# CARITAS ST. ELIZABETH'S MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brighton Marine Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982760351
- **Authorized official:** MR. JAMES JOSEPH GERMANO R.PH. (PHARMACY MANAGER)
- **Authorized official phone:** (617) 562-5302

## Contact information

- **Practice address:** 77 WARREN ST, PHARMACY DEPARTMENT, BRIGHTON, MA 02135-3601
- **Practice address phone:** (617) 562-5302
- **Practice address fax:** (617) 562-5296
- **Mailing address:** 77 WARREN ST, PHARMACY DEPARTMENT, BRIGHTON, MA 02135-3601
- **Mailing address phone:** (617) 562-5302
- **Mailing address fax:** (617) 562-5296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | BB3797113 | MA | Yes |
| 261Q00000X | Clinic/Center | BB4261575 | MA | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0401200 | — | MA |