Organization Name: | UPHAMS CORNER HEALTH COMMITTEE INC |
NPI Number: | 1023348638 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAGDEEP TRIVEDI (CEO) |
Mailing Address: | 415 Columbia Rd Dorchester |
State: | MA US |
Postal Code: | 021252424 |
Phone Number: | 6172651310 |
Fax Number: | 6172651654 |
NPI Enumeration Date: | 01/04/2010 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | MA0058176 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |