Codman Square Pharmacy

LBN: South End Pharmacy - Anjo
Codman Square Pharmacy is an health care organization with primary practice located at 624 Washington St , Dorchester Center MA 02124-3509. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. South End Pharmacy - Anjo can be contacted via phone (617) 288-6070, or through Onujiogu, Joseph via phone (617) 288-6070.

Contact Information

Primary practice address
624 Washington St Dorchester Center MA 02124-3509
Phone: (617) 288-6070
Fax: (617) 288-4565
Website:
Map and Directions
Authorized official contact:
Name: Onujiogu, Joseph RPH
Phone: (617) 288-6070

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2692 Massachusetts

Profile Details

NPI number 1427118611
LBN Legal business name South End Pharmacy - Anjo
DBA Doing business as Codman Square Pharmacy
Authorized official Onujiogu, Joseph RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1427118611 NPPES
Massachusetts MEDICAID 0437905

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