Organization
SOUTH END PHARMACY - ANJO
Active
Other names
Codman Square Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ONUJIOGU RPH (OWNER)
(617) 288-6070
Entity
Organization
Contact information
Practice address
624 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3509
(617) 288-6070
(617) 288-4565
Mailing address
624 WASHINGTON ST, DORCHESTER CENTER, MA 02124-3509
(617) 288-6070
(617) 288-4565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2692
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437905
—
MA
Enumeration date
12/11/2006
Last updated
08/22/2020
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