Organization
BOSTON HOME INFUSION INC
Active
Other names
BOSTON HOME INFUSION, Promptcare Home Infusion, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A LARIVIERE (CHIEF COMPLIANCE OFFICER)
(866) 776-6782
Entity
Organization
Contact information
Practice address
30 BUCKLEY RD, STOUGHTON, MA 02072-1532
(781) 326-1986
(781) 326-2327
Mailing address
30 BUCKLEY RD, STOUGHTON, MA 02072-1532
(781) 326-1986
(781) 326-2327
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
DS90029
MA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022075E
—
MA
01
—
2038140
PK
—
Enumeration date
12/29/2005
Last updated
08/09/2024
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