Organization
BOSTON MEDICAL CENTER CORPORATION
Active
Other names
Yawkey Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY HOLLENBERG (PRESIDENT)
(617) 638-6903
Entity
Organization
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 414-4883
(617) 414-5397
Mailing address
840 HARRISON AVE, BOSTON, MA 02118-2905
(617) 414-4883
(617) 414-5397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
339
MA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447137
—
MA
01
—
DSH723A
DSH NUMBER
MA
Enumeration date
11/01/2005
Last updated
01/12/2026
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