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) 794-9960
Entity
Organization
Contact information
Practice address
11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
(413) 794-9960
(413) 794-9959
Mailing address
11 WILBRAHAM RD, SPRINGFIELD, MA 01109-3161
(413) 794-9960
(413) 794-9959
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
MA0052124
MA
3336C0003X
Community/Retail Pharmacy
Primary
MA0052124
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445266
—
MA
05
—
110020829/B
—
MA
01
—
2236316
NABP NUMBER
—
Enumeration date
09/14/2006
Last updated
03/10/2026
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