Organization
REVERE HEALTH CENTER PHARMACY
Active
Parent organization
GENERAL HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL HOSPITAL CORPORATION
Authorized official
MR. KAREN MARIE RYLE MS RPH (BUSINESS UNIT LEADER)
(617) 724-9154
Entity
Organization
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151
(781) 485-6098
(781) 485-6042
Mailing address
300 OCEAN AVE, REVERE, MA 02151
(781) 485-6098
(781) 485-6042
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA0044987
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445533
—
MA
Enumeration date
10/02/2006
Last updated
01/15/2016
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