Provider Demographics
NPI:1669142725
Name:BOSTON CHILDREN'S HEALTH SOLUTIONS RX, LLC
Entity type:Organization
Organization Name:BOSTON CHILDREN'S HEALTH SOLUTIONS RX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP AND GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-355-4937
Mailing Address - Street 1:283 LONGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5717
Mailing Address - Country:US
Mailing Address - Phone:617-919-5330
Mailing Address - Fax:617-730-0143
Practice Address - Street 1:283 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5717
Practice Address - Country:US
Practice Address - Phone:617-919-5330
Practice Address - Fax:617-730-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy