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Canonical ID: NK-NHksvHBQKBve29w94c63tF · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Organization:address | 3090 WASHINGTON ST, ROXBURY, MA 021193115 | ext_us_cms_npi | us-npi-1629138920 | ||||
Organization:alias | Egleston Square Pharmacy | ext_us_cms_npi | us-npi-1629138920 | ||||
Organization:country | us | ext_us_cms_npi | us-npi-1629138920 | ||||
LegalEntity:country | us | us_ma_med_exclusions | us-medma-c59974d3f59787345be19d4e4006f7fc800f69ad | ||||
Organization:id | 180e10e1bcd21cc1db71917959ca0ec0ca076ee3 | ext_us_cms_npi | us-npi-1629138920 | ||||
LegalEntity:id | c6fc2a99daf19ce9ed18076409d963a9a3112806 | us_ma_med_exclusions | us-medma-c59974d3f59787345be19d4e4006f7fc800f69ad | ||||
Organization:name | EGLESTON SQUARE PHARMACY,INC. | ext_us_cms_npi | us-npi-1629138920 | ||||
LegalEntity:name | EGLESTON SQUARE PHARMACY | eng | us_ma_med_exclusions | us-medma-c59974d3f59787345be19d4e4006f7fc800f69ad | |||
Organization:npiCode | 1629138920 | ext_us_cms_npi | us-npi-1629138920 | ||||
LegalEntity:npiCode | 1629138920 | eng | us_ma_med_exclusions | us-medma-c59974d3f59787345be19d4e4006f7fc800f69ad | |||
LegalEntity:sector | PHARMACY | eng | us_ma_med_exclusions | us-medma-c59974d3f59787345be19d4e4006f7fc800f69ad | |||
LegalEntity:topics | debarment | us_ma_med_exclusions | us-medma-c59974d3f59787345be19d4e4006f7fc800f69ad | ||||