Provider Demographics
NPI:1346853728
Name:BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Entity Type:Organization
Organization Name:BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Other - Org Name:BILH PHARMACY DIRECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP, CHIEF PHARMACY OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSENOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DE JESUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-352-6500
Mailing Address - Street 1:80 WILSON WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090
Mailing Address - Country:US
Mailing Address - Phone:781-352-6500
Mailing Address - Fax:781-352-6680
Practice Address - Street 1:80 WILSON WAY
Practice Address - Street 2:SUITE A
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:781-352-6500
Practice Address - Fax:781-352-6680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy