Organization
KOALA PHARMACY BOSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE OSMANSKI RPH (AUTHORIZED PERSON)
(866) 445-6252
Entity
Organization
Contact information
Practice address
179 SOUTH ST STE 100, BOSTON, MA 02111-2729
(866) 445-6252
Mailing address
179 SOUTH ST STE 100, BOSTON, MA 02111-2729
(866) 445-6252
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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