Caritas St Elizabeth Health Care, NPI 1043359854
Managed Care Organization Pharmacy in Brighton, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1043359854
NPI Entity Type Organization
Provider Name Caritas St Elizabeth Health Care
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 77 Warren St, Phcy Dept, Brighton, MA, US
Provider Mailing Address 77 Warren St, Phcy Dept, Brighton, MA, US, 021353601
Is Sole Proprietor? No
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Organization Official

Official Name RPH James Germano
Official Position PHCY MGR
Phone 617-562-5302

Primary Taxonomy

Taxonomy Code

3336M0003X

Taxonomy Name Managed Care Organization Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. MA0148848
License State MA
Description A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Other Organization Name

BRIGHTON MARINE PHARMACY
Doing Business As

Business Address

Caritas St Elizabeth Health Care
77 Warren St
Phcy Dept

Brighton, MA, US

Phone: 617-562-5304
Fax: 617-562-5296

Mailing Address

Caritas St Elizabeth Health Care
77 Warren St
Phcy Dept
Brighton, MA, US
ZIP 021353601

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336C0002X

Suppliers

Pharmacy

No

3336C0004X

Suppliers

Pharmacy

No

3336M0002X

Suppliers

Pharmacy

No

3336S0011X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2226175 OTHER ID NUMBER 01
0401200 MA MEDICAID 05
2226175 OTHER ID NUMBER-COMMERCIAL NUMBER 01

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