Organization
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, INC.
Active
Other names
McInnis House Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES W LEUNG (CHIEF FINANCIAL OFFICER)
(857) 654-1200
Entity
Organization
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118
(857) 654-1150
(857) 654-1445
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1150
(617) 654-1445
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110020876A
—
MA
01
—
2240783
NCPDP
—
Enumeration date
04/19/2007
Last updated
12/07/2022
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