Organization
SACRED POWER USA LLC
Active
Other names
Boston Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VASHKAR KARIM (OWNER)
(617) 240-0271
Entity
Organization
Contact information
Practice address
180 EVERETT AVE, CHELSEA, MA 02150-1815
(617) 884-0404
Mailing address
180 EVERETT AVE, CHELSEA, MA 02150-1815
(617) 884-0404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89806
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2243739
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/06/2012
Last updated
11/09/2012
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