Edward M. Kennedy Community Health Center, Inc

NPI 1013048347 - Pharmacy - 3336C0002X

NPI Details
NPI 1013048347
Enumeration Date 03/08/2007
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTONIA G ANTONIA
Position PRESIDENT & CEO
Phone (508) 854-2128
Fax (508) 595-1127
Practice Location
19 TACOMA ST
WORCESTER MA, 01605-3516, US
Phone (508) 854-2128
Fax (508) 595-1127
Business Location
650 LINCOLN ST
WORCESTER MA, 01605-2060, US
Phone (508) 854-2122
Fax (508) 853-8593
Toxanomy
Taxonomy Code 3336C0002X
License State Massachusetts
License Number 495
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According to our database, Edward M. Kennedy Community Health Center, Inc NPI is 1013048347, taxonomy code is 3336C0002X and license number is 495, license state is located at Massachusetts. Edward M. Kennedy Community Health Center, Inc physically located at 19 Tacoma St, Worcester MA, 01605-3516. NPI Number 1033115704 has the healthcare provider type.

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1013048347 NPI number is provided on an as is basis without warranty of any kind. 1013048347 is maintained by the National Plan & Provider Enumeration System. The contents of Edward M. Kennedy Community Health Center, Inc are for informational purposes only.