Provider Demographics
NPI:1356009336
Name:TUFTS MEDICINE PHARMACY LLC
Entity Type:Organization
Organization Name:TUFTS MEDICINE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, CHIEF PHARMACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASSET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-942-2160
Mailing Address - Street 1:800 DISTRICT AVE
Mailing Address - Street 2:STE 520
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5057
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:866-918-6848
Practice Address - Fax:617-636-8090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy