Organization
MEI SERVICES INC
Active
Other names
PHARMALIFE BOSTON
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOGACHEU PHRMD (VP)
(404) 933-3296
Entity
Organization
Contact information
Practice address
367 WASHINGTON ST, BRIGHTON, MA 02135-2730
(617) 787-4700
(404) 261-4917
Mailing address
2915 PIEDMONT RD NE, STE A, ATLANTA, GA 30305-2782
(404) 261-7775
(404) 261-4917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
3569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000811137B
—
MA
01
—
2242206
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2008
Last updated
01/31/2013
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