Organization
MASSACHUSETTS EYE AND EAR INFIRMARY-PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO CONNOLLY STEWART RPH (PHARMACY MANAGER)
(617) 573-3532
Entity
Organization
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3532
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3532
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221389
NCPDP
MA
Enumeration date
05/21/2008
Last updated
05/21/2008
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