NPI | 1124125547 |
---|---|
Doing Business As | BAYSTATE PHARMACY |
Entity Type | Organization |
Authorized Contact | GARY KERR Chief Pharmacy Officer 413-794-3663 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89912) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-03-07 |