NPI | 1972936623 |
---|---|
Doing Business As | BAYSTATE SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURIE MARTIN Chief Financial Officer 855-865-5432 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2013-08-16 |
Last Update Date | 2025-08-04 |