Organization
MAHANT ENTERPRISES LLC
Active
Other names
Green Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MINESH BRAHMBHATT (MANAGER)
(781) 665-0022
Entity
Organization
Contact information
Practice address
35 GREEN ST, MELROSE, MA 02176-2811
(781) 665-0022
(781) 665-9461
Mailing address
35 GREEN ST, MELROSE, MA 02176-2811
(781) 665-0022
(781) 665-9461
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS23612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0412163
—
MA
01
—
2041524
PK
—
Enumeration date
10/04/2006
Last updated
12/12/2017
About Stedi
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