| NPI | 1023069473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGON GALLAGHER VP COO 617-616-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MA 4174) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-12-03 |