Organization
SULLIVAN'S HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM METHRATTA PHARMD (PHARMACY DIRECTOR)
(617) 363-1726
Entity
Organization
Contact information
Practice address
30 BELGRADE AVE, ROSLINDALE, MA 02131-3006
(617) 327-0210
(617) 323-8776
Mailing address
30 BELGRADE AVE, ROSLINDALE, MA 02131-3006
(617) 327-0210
(617) 323-8776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3335
MA
3336C0003X
Community/Retail Pharmacy
3335
MA
3336C0004X
Compounding Pharmacy
3335
MA
3336H0001X
Home Infusion Therapy Pharmacy
3335
MA
3336L0003X
Long Term Care Pharmacy
Primary
3335
MA
3336L0003X
Long Term Care Pharmacy
DS3335
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406538
—
MA
01
—
2240606
NCPDP
MA
Enumeration date
09/13/2006
Last updated
01/16/2026
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