Egleston Square Pharmacy
LBN: Egleston Square Pharmacy,Inc.
Egleston Square Pharmacy is an health care organization with primary practice located at 3090 Washington St , Roxbury MA 02119-3115. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Egleston Square Pharmacy,Inc. can be contacted via phone (617) 442-6070, or through Onujiogus, Aloysius via phone (617) 442-6070.
Contact Information
Primary practice address
3090 Washington St
Roxbury MA 02119-3115
Phone: (617) 442-6070
Fax: (617) 442-3424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Massachusetts | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 3366 | Massachusetts |
Profile Details
| NPI number | 1629138920 |
|---|---|
| LBN Legal business name | Egleston Square Pharmacy,Inc. |
| DBA Doing business as | Egleston Square Pharmacy |
| Authorized official | Onujiogus, Aloysius RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629138920 | NPPES |
| Massachusetts | MEDICAID | 0406911 |
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