Healthcare Provider Details

I. General information

NPI: 1447399225
Provider Name (Legal Business Name): FAMILY HEALTH CENTER OF WORCESTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 QUEEN ST PHARMACY
WORCESTER MA
01610-2473
US

IV. Provider business mailing address

26 QUEEN ST PHARMACY
WORCESTER MA
01610-2473
US

V. Phone/Fax

Practice location:
  • Phone: 508-860-7962
  • Fax: 508-860-7929
Mailing address:
  • Phone: 508-860-7962
  • Fax: 508-796-7014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number401
License Number StateMA

VIII. Authorized Official

Name: ALYDA JUSTINIANO-FRANZEL
Title or Position: MGR. PROVIDER RELATIONS
Credential:
Phone: 508-860-7962