Maverick Specialty Retail Pharmacy

LBN: Maverick Specialty Retail Pharmacy
Maverick Specialty Retail Pharmacy is an health care organization with primary practice located at 20 Maverick Sq , East Boston MA 02128-2335. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Maverick Specialty Retail Pharmacy can be contacted via phone (617) 568-4781, or through Wilmot, Gregory via phone (617) 568-4570.

Contact Information

Primary practice address
20 Maverick Sq East Boston MA 02128-2335
Phone: (617) 568-4781
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilmot, Gregory
Phone: (617) 568-4570

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1013621598
LBN Legal business name Maverick Specialty Retail Pharmacy
DBA Doing business as
Authorized official Wilmot, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2023
Last updated Jan 10th, 2023 - about last year

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.

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