Organization
MONA PHARMACY CORP
Active
Other names
central pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIPESH CHAUDHARY (SECRETAREY)
(617) 254-5900
Entity
Organization
Contact information
Practice address
1349 COMMONWEALTH AVE, ALLSTON, MA 02134-3301
(617) 254-5900
(617) 254-5908
Mailing address
1349 COMMONWEALTH AVE, ALLSTON, MA 02134-3301
(617) 254-5900
(617) 254-5908
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
DS89966
MA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104358A
—
MA
01
—
2152541
PK
—
Enumeration date
03/31/2009
Last updated
06/02/2020
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