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Organization

CARITAS ST ELIZABETH HEALTH CARE

Active
Other names
BRIGHTON MARINE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES GERMANO RPH (PHCY MGR)
(617) 562-5302
Entity
Organization

Contact information

Practice address
77 WARREN ST, PHCY DEPT, BRIGHTON, MA 02135-3601
(617) 562-5304
(617) 562-5296
Mailing address
77 WARREN ST, PHCY DEPT, BRIGHTON, MA 02135-3601

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
3336C0004X
Compounding Pharmacy
3336M0002X
Mail Order Pharmacy
3336M0003X
Managed Care Organization Pharmacy
Primary
MA0148848
MA
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0401200
MA
01
2226175
OTHER ID NUMBER
Enumeration date
02/06/2007
Last updated
09/12/2007
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