Organization
UMASS MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. GERALD LONGENECKER PHARMD (DIRECTOR OF PHARMACY)
(508) 856-4939
Entity
Organization
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-2277
(508) 856-1850
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-2277
(508) 856-1850
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
MA0051069
MA
Other
Enumeration date
08/09/2005
Last updated
08/22/2020
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