Organization
BROCKTON PHARMACY, LLC
Active
Other names
Brockton Pharmacy, Bright Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK N ALAMBA PHARMD, MBA, RPH (PHARMACIST/OWNER)
(774) 517-5528
Entity
Organization
Contact information
Practice address
90 MAIN ST UNIT A, BROCKTON, MA 02301-4011
(774) 517-5528
(774) 517-5568
Mailing address
90 MAIN ST UNIT A, BROCKTON, MA 02301-4011
(774) 517-5528
(774) 517-5568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110148058A
—
MA
Enumeration date
09/10/2018
Last updated
01/11/2022
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