Organization
UMASS MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Prescription Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HUGGINS (SVP FINANCE/CORP CONTROLLER)
(508) 334-0252
Entity
Organization
Contact information
Practice address
119 BELMONT ST, MEMORIAL CAMPUS, WORCESTER, MA 01605-2903
(508) 421-1990
(508) 334-6100
Mailing address
119 BELMONT ST, MEMORIAL CAMPUS, WORCESTER, MA 01605-2903
(508) 421-1990
(508) 334-6100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
DS89916
MA
3336C0003X
Community/Retail Pharmacy
DS89818
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022124O
—
MA
05
—
110022124Z
—
MA
01
—
2242319
NCPDP
MA
Enumeration date
06/20/2012
Last updated
11/27/2024
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