| NPI | 1003177460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORIYA ANNA SOK R.Ph. 978-328-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MA PH24930) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2012-06-01 |