BAYSTATE MEDICAL CENTER, INC.
140 High St
Springfield, MA 01105
413-794-9960
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MA | MA0052124 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
110020829/B | MA | MEDICAID | |
0445266 | MA | MEDICAID | |
NABP NUMBER | 2236316 | OTHER | |
DEA NUMBER | AB7065053 | OTHER |