Provider Demographics
NPI:1477125847
Name:BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Entity Type:Organization
Organization Name:BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Other - Org Name:BILH PHARMACY, 230 BOWDOIN ST., DORCHESTER
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:617-754-0160
Mailing Address - Street 1:230 BOWDOIN ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-1817
Mailing Address - Country:US
Mailing Address - Phone:617-754-0160
Mailing Address - Fax:617-754-0165
Practice Address - Street 1:230 BOWDOIN ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-1817
Practice Address - Country:US
Practice Address - Phone:617-754-0160
Practice Address - Fax:617-754-0165
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETH ISRAEL LAHEY HEALTH PHARMACY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-14
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy