Organization
BAYSTATE MEDICAL CENTER INC
Active
Other names
BAYSTATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MARTIN (CHIEF FINANCIAL OFFICER)
(413) 794-3291
Entity
Organization
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-3291
(413) 794-9377
Mailing address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-3291
(413) 794-9377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89912
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020829/C
—
MA
01
—
2232762
NCPDP
—
Enumeration date
09/20/2006
Last updated
08/06/2025
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