Organization
DORCHESTER HOUSE MULTI-SERVICE CENTER
Active
Other names
Dorchester House Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEBASTIAN HAMILTON (ASSOCIATE CHIEF PHARMACY OFFICER)
(617) 414-5377
Entity
Organization
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2544
(617) 740-2540
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2544
(617) 740-2540
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
54471
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405272
—
MA
01
—
2240973
NCPDP
MA
Enumeration date
04/23/2007
Last updated
07/08/2020
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