BAYSTATE MEDICAL CENTER INC
759 Chestnut St
Springfield, MA 01199
413-794-3291
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MA | DS89912 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
110020829/C | MA | MEDICAID | |
NCPDP | 2232762 | OTHER | |
DEA | FB4889210 | OTHER |