Provider Demographics
NPI:1841007044
Name:BETH ISRAEL LAHEY HEALTH PHARMACY, INC
Entity type:Organization
Organization Name:BETH ISRAEL LAHEY HEALTH PHARMACY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR- HOME INFUSION SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:781-352-6506
Mailing Address - Street 1:80 WILSON WAY
Mailing Address - Street 2:HOME INFUSION SERVICES
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1806
Mailing Address - Country:US
Mailing Address - Phone:781-352-6790
Mailing Address - Fax:781-352-6795
Practice Address - Street 1:80 WILSON WAY
Practice Address - Street 2:HOME INFUSION SERVICES
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1806
Practice Address - Country:US
Practice Address - Phone:781-352-6686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETH ISRAEL LAHEY HEALTH PHARMACY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-12
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy