NPIMap

Caritas St Elizabeths Health Care

Organization Active NPI Clinic Pharmacy · Hanscom Afb, MA

NPI 1073635264 · NPPES record last updated Oct 24, 2007

Key facts

NPI
1073635264
Entity type
Organization (NPI type 2)
Primary specialty
Clinic Pharmacy 3336C0002X
License
MA0042870 (MA)
Legal business name
CARITAS ST ELIZABETHS HEALTH CARE
Practice address
1609 Eglin St
Hanscom Afb, MA 01731-2613
Phone
(781) 274-9102
Fax
(781) 274-6249
NPI assigned
Apr 6, 2007
Organization subpart
No

Authorized official

Name
James Germano, RPH
Title
Pharmacy Manager
Phone
(617) 562-5302

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Caritas St Elizabeth Medical Center (10 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X MA0042870 MA Yes
Clinic Pharmacy 3336C0002X
Managed Care Organization Pharmacy 3336M0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1609 Eglin St
Hanscom Afb, MA 01731-2613

Mailing address

1609 Eglin St
Hanscom Afb, MA 01731-2613

Other identifiers

IdentifierTypeStateIssuer
2233423OtherOTHER ID NUMBER
2233423OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names

  • BRIGHTON MARINE PHY AT HANSCOM Doing business as

Other providers in Hanscom Afb, MA

All providers in Hanscom Afb, MA · Clinic Pharmacy in Massachusetts

Sources for this page

Verify at the official NPI Registry.