Organization
BAYSTATE MEDICAL CENTER, INC.
Active
Other names
Baystate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE E MARTIN (CHIEF FINANCIAL OFFICER)
(413) 794-2578
Entity
Organization
Contact information
Practice address
11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
(413) 794-9960
(413) 794-9959
Mailing address
11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
(413) 794-9960
(413) 794-9959
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2236316
NCPDP
—
Enumeration date
03/23/2026
Last updated
03/23/2026
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