Organization
STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
Active
Other names
Brighton Marine Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GERMANO (PHARMACY DIRECTOR)
(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 02135-3682
(617) 562-5304
(617) 562-5296
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
MA0058873
MA
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087064C
—
MA
01
—
2128070
PK
—
Enumeration date
08/12/2010
Last updated
09/19/2025
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