Organization
FENWAY COMMUNITY HEALTH CENTER INC
Active
Other names
FENWAY PHARMACY SEA
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH MELE RPH (DIRECTOR OF PHARMACY)
(617) 927-6330
Entity
Organization
Contact information
Practice address
142 BERKELEY ST, BOSTON, MA 02116-5100
(617) 927-6163
(617) 267-1113
Mailing address
142 BERKELEY ST, BOSTON, MA 02116-5100
(617) 927-6163
(617) 267-1113
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS3583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020739E
—
MA
01
—
2039754
PK
—
Enumeration date
04/23/2008
Last updated
08/24/2016
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