Organization
BAYSTATE MEDICAL CENTER, INC.
Active
Other names
BAYSTATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MARTIN (CHIEF FINANCIAL OFFICER)
(413) 794-9442
Entity
Organization
Contact information
Practice address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(413) 794-9442
(413) 794-9443
Mailing address
380 PLAINFIELD ST, SPRINGFIELD, MA 01107-1524
(413) 794-9442
(413) 794-9443
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
MA0045484
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445401
—
MA
05
—
110020829/D
—
MA
01
—
2236380
NABP NUMBER
—
Enumeration date
09/14/2006
Last updated
08/06/2025
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