BAYSTATE MEDICAL CENTER, INC.
380 Plainfield St
Springfield, MA 01107
413-794-9442
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | MA | MA0045484 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0445401 | MA | MEDICAID | |
110020829/D | MA | MEDICAID | |
NABP NUMBER | 2236380 | OTHER | |
DEA NUMBER | BB4776716 | OTHER |