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General NPI Number Information
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NPI Number | 1043684582
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Entity Type | Organization
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Legal Business Name | GALAXY PHARMACY BOSTON INC
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 534 DORCHESTER AVE UNIT C-1
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City | BOSTON
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State | MA
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Zip | 02127
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Country | US
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Telephone | 617-268-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 534 DORCHESTER AVE UNIT C-1
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City | BOSTON
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State | MA
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Zip | 02127-2762
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Country | US
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Telephone | 617-268-0800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | QUYEN TRAN
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Credential |
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Telephone | 617-331-5065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | DS90255
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License Number State | MA
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