NPI | 1013392117 |
---|---|
Doing Business As | BAYSTATE PHARMACY |
Entity Type | Organization |
Authorized Contact | GARY KERR Chief Pharmacy Officer 413-794-3178 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA DS89912) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2023-03-07 |