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Organization

FENWAY COMMUNITY HEALTH CENTER, INC

Active
Other names
Fenway Community Hlth Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RALPH MELE RPH (PHARMACY DIRECTOR)
(617) 927-6330
Entity
Organization

Contact information

Practice address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 927-6330
(617) 247-3029
Mailing address
1340 BOYLSTON ST, BOSTON, MA 02215-4302
(617) 927-6330
(617) 247-3029

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MA0041359
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0404438
MA
Enumeration date
08/17/2006
Last updated
10/05/2012
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