Organization
CAMBRIDGE PUBLIC HEALTH COMMISSION
Active
Other names
CAMBRIDGE HLTH ALLIANCE OUTPATIENT PHCY EAST CAMBRIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA KOSSILOS MARIA KOSSILOS BS IN (ASSOCIATE CHIEF PHARMACY OFFICER)
(617) 806-8505
Entity
Organization
Contact information
Practice address
163 GORE ST, EAST CAMBRIDGE, MA 02141-1119
(617) 499-6690
(617) 499-6691
Mailing address
163 GORE ST, EAST CAMBRIDGE, MA 02141-1119
(617) 499-6690
(617) 499-6691
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS90039
MA
3336L0003X
Long Term Care Pharmacy
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Other
Enumeration date
05/10/2016
Last updated
11/23/2020
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