Cambridge Public Health Commission
Pharmacy, Community/Retail Pharmacy in Revere, MA. Organization (NPI-2).
NPI number1134812647
StatusActive
Last updated in NPPESJun 2, 2023
Details
- NPI
- 1134812647
- Entity type
- Organization (NPI-2)
- Legal business name
- Cambridge Public Health Commission
- Organization subpart
- No
- Enumeration date
- May 31, 2023
- Certification date
- Jun 2, 2023
- Last updated
- Jun 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Cambridge Health Alliance Outpatient Pharmacy Revere (Doing Business As)
Practice location
454 BroadwayRevere, MA 02151-3034
Phone 781-485-8272
Mailing address
454 BroadwayRevere, MA 02151-3034
Phone 781-485-8272
Authorized official
Maria Kossilos
Associate Chief Pharmacy Officer
6178068505
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