Provider Demographics
NPI:1578707311
Name:WHITTIER HEALTH PHARMACY INC
Entity Type:Organization
Organization Name:WHITTIER HEALTH PHARMACY INC
Other - Org Name:WHITTIER HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAURETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-541-6846
Mailing Address - Street 1:1012 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:ROXBURY CROSSING
Mailing Address - State:MA
Mailing Address - Zip Code:02120-2298
Mailing Address - Country:US
Mailing Address - Phone:617-536-1890
Mailing Address - Fax:617-536-1891
Practice Address - Street 1:1012 TREMONT ST
Practice Address - Street 2:
Practice Address - City:ROXBURY CROSSING
Practice Address - State:MA
Practice Address - Zip Code:02120-2298
Practice Address - Country:US
Practice Address - Phone:617-536-1890
Practice Address - Fax:617-536-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy