Organization
BOSTON MEDICAL CENTER CORPORATION
Active
Other names
Boston Medical Center Outpatient Pharmacy Preston Building
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHAVESH SHAH (VP & CHIEF PHARMACY OFFICER)
(617) 638-6789
Entity
Organization
Contact information
Practice address
732 HARRISON AVE, BOSTON, MA 02118-2309
(617) 638-8130
(617) 638-8125
Mailing address
732 HARRISON AVE, BOSTON, MA 02118-2309
(617) 638-8130
(617) 638-8125
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
340
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447145
—
MA
01
—
DSH723B
DSH NUMBER
MA
Enumeration date
11/01/2005
Last updated
12/26/2024
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