Organization · Type 2 NPI
Egleston Square Pharmacy,inc.
Durable Medical Equipment & Medical Supplies · Roxbury, MA
NPI number
1629138920
Active
Practice location
3090 Washington St
Roxbury, MA 02119-3115
Fax (617) 442-3424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | 3366 (MA) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1629138920
Egleston Square Pharmacy,inc.'s National Provider Identifier is 1629138920, issued on Dec 10, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Roxbury, MA. The record was last updated on Sep 11, 2025.