Organization
HARBOR HEALTH SERVICES INC
Active
Other names
Neponset Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR FOURNIER (DIRECTOR OF PHARMACY)
(617) 533-2280
Entity
Organization
Contact information
Practice address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 533-2290
(617) 533-2291
Mailing address
398 NEPONSET AVE, DORCHESTER, MA 02122-3134
(617) 533-2290
(617) 533-2291
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89736
MA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027821B
—
MA
01
—
2126096
PK
—
Enumeration date
08/12/2010
Last updated
04/19/2017
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