Maverick Specialty Retail Pharmacy
NPI #1013621598 in East Boston, Massachusetts
Provider Information
- NPI Number
- 1013621598
- Entity Type
- Organization
- Organization Name
- Maverick Specialty Retail Pharmacy
- Primary Specialty
- Pharmacy - Specialty Pharmacy
- Enumeration Date
- Jan 10, 2023
- Last Updated
- Jan 10, 2023
Practice Location
- Address
- 20 MAVERICK SQ
- City
- East Boston
- State
- Massachusetts
- ZIP Code
- 02128-2335
- Phone
- (617) 568-4781
Authorized Official
- Name
- GREGORY WILMOT
- Title
- PRESIDENT & CEO
- Phone
- (617) 568-4570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
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