NPI | 1013392117 |
---|---|
Doing Business As | BAYSTATE PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURIE MARTIN Chief Financial Officer 413-794-3291 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89912) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2025-08-06 |