Healthcare Provider Details

I. General information

NPI: 1285216127
Provider Name (Legal Business Name): BOSTON CHILDREN'S HEALTH SOLUTIONS RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 LONGWOOD AVE
BOSTON MA
02115-5717
US

IV. Provider business mailing address

283 LONGWOOD AVE
BOSTON MA
02115-5717
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6810
  • Fax:
Mailing address:
  • Phone: 617-919-5330
  • Fax: 617-730-0143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE GARVIN
Title or Position: SR. VP, GENERAL COUNCIL
Credential:
Phone: 617-355-4937