Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maverick Specialty Retail Pharmacy

Organization Community/Retail Pharmacy · NPI 1013621598

Maverick Specialty Retail Pharmacy is a Community/Retail Pharmacy in East Boston, Massachusetts. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

20 Maverick Sq
East Boston, MA 02128-2335
Phone: (617) 568-4781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1013621598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Wilmot — President & Ceo · (617) 568-4570
NPI enumeratedJanuary 10, 2023
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 6, 2023
Mailing address20 Maverick Sq, East Boston, MA 02128-2335

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