Organization
CARITAS ST ELIZABETHS HEALTH CARE
Active
Other names
BRIGHTON MARINE PHY AT HANSCOM
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GERMANO RPH (PHARMACY MANAGER)
(617) 562-5302
Entity
Organization
Contact information
Practice address
1609 EGLIN ST, HANSCOM AFB, MA 01731-2613
(781) 274-9102
(781) 274-6249
Mailing address
1609 EGLIN ST, HANSCOM AFB, MA 01731-2613
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
MA0042870
MA
3336C0002X
Clinic Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2233423
OTHER ID NUMBER
—
Enumeration date
04/06/2007
Last updated
10/24/2007
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