Healthcare Provider Details

I. General information

NPI: 1356009336
Provider Name (Legal Business Name): TUFTS MEDICINE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST.
BOSTON MA
02111-1552
US

IV. Provider business mailing address

800 DISTRICT AVE STE 520
BURLINGTON MA
01803-5057
US

V. Phone/Fax

Practice location:
  • Phone: 866-918-6848
  • Fax: 617-636-8090
Mailing address:
  • Phone:
  • Fax:

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 Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KEITH THOMASSET
Title or Position: SVP, CHIEF PHARMACY OFFICER
Credential:
Phone: 978-942-2160