Healthcare Provider Details

I. General information

NPI: 1477213031
Provider Name (Legal Business Name): LYNN COMMUNITY HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 UNION ST
LYNN MA
01901-1314
US

IV. Provider business mailing address

PO BOX 526
LYNN MA
01903-0626
US

V. Phone/Fax

Practice location:
  • Phone: 781-581-3900
  • Fax: 781-598-1050
Mailing address:
  • Phone: 781-596-2502
  • Fax: 781-596-3966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RYAN SULLIVAN
Title or Position: CFO
Credential: NP
Phone: 959-216-7305