Organization
BOORAS MEDICAL SUPPLY
Active
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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