Organization
BOORAS MEDICAL SUPPLY
Active
Other names
OSBORNE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAMS BOORAS (OWNER AND PRES)
(781) 598-3501
Entity
Organization
Contact information
Practice address
59 ESSEX ST, LYNN, MA 01902-1712
(781) 598-3501
(781) 598-3552
Mailing address
59 ESSEX ST, LYNN, MA 01902-1712
(781) 598-3501
(781) 598-3552
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
9321
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411159
—
MA
01
—
2209321
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/31/2006
Last updated
11/02/2016
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