| NPI | 1013292796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEPHEN SADLER Pharmacist 781-888-7148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA ph22496) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |