Pearl Street Pharmacy

LBN: Pearl Street Pharmacy
Pearl Street Pharmacy is an health care organization with primary practice located at 1 Pearl St , Brockton MA 02301-2864. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pearl Street Pharmacy can be contacted via phone (508) 588-7455, or through Tengalia, Rocky via phone (781) 925-2378.

Contact Information

Primary practice address
1 Pearl St Brockton MA 02301-2864
Fax: (508) 588-7400
Website:
Authorized official contact:
Name: Tengalia, Rocky RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X DS3565 Massachusetts

Profile Details

NPI number 1639351364
LBN Legal business name Pearl Street Pharmacy
DBA Doing business as
Authorized official Tengalia, Rocky RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Jan 3rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639351364 NPPES
Other 2242155 OTHER ID NUMBER

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