Organization
CHARLES RIVER COMMUNITY HEALTH INC
Active
Other names
CHARLES RIVER COMMUNITY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LOCKWOOD MULLANEY (CEO)
(617) 783-0500
Entity
Organization
Contact information
Practice address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 208-1656
(617) 870-7459
Mailing address
495 WESTERN AVE, BRIGHTON, MA 02135-1007
(617) 208-1656
(617) 870-7459
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS90057
MA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024306H/MA
—
MA
01
—
2163915
PK
—
Enumeration date
08/30/2016
Last updated
04/14/2026
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