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
Update your record
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