Organization
BETH ISRAEL LAHEY HEALTH PHARMACY INC
Active
Other names
BILH Pharmacy 41 Mall Rd, Burlington
Organization subpart
No
Provider details
NPI number
Authorized official
JOSENOR DE JESUS PHARMD (PRESIDENT & CHIEF PHARMACY OFFICER)
(781) 352-6454
Entity
Organization
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8658
(781) 744-5259
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8658
(781) 744-5259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
MA0050182
MA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419222
—
MA
01
—
DS100064
STATE PHARMACY LICENSE
MA
Enumeration date
10/27/2006
Last updated
10/21/2025
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