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Organization

UMASS MEMORIAL MEDICAL CENTER, INC.

Active
Other names
UMass Memorial Medical Center Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN SMITH (DIRECTOR, SPECIALTY PHARMACY)
(508) 740-8131
Entity
Organization

Contact information

Practice address
55 LAKE AVE N STE AC1.033, WORCESTER, MA 01655-0002
(888) 639-3988
(866) 344-0186
Mailing address
55 LAKE AVE N, SUITE AC1.033, WORCESTER, MA 01655-0002
(888) 639-3988
(866) 344-0186

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
DS89822
MA
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110093140
MA
01
2135484
PK
Enumeration date
02/03/2012
Last updated
08/02/2016
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