Organization
ROSLINDALE PHARMACY LTD
Active
Other names
ROSLINDALE PHARMACY LTD
Organization subpart
No
Provider details
NPI number
Authorized official
PETER OKWESILI (DIR OF PHARM)
(617) 325-0300
Entity
Organization
Contact information
Practice address
452 HYDE PARK AVE, ROSLINDALE, MA 02131-3131
(617) 325-0300
(617) 325-2240
Mailing address
452 HYDE PARK AVE, ROSLINDALE, MA 02131-3131
(617) 325-0300
(617) 325-2240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448443
—
MA
01
—
2038795
PK
—
Enumeration date
10/07/2006
Last updated
01/20/2017
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