| NPI | 1033242664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAO HUYNH Director Of Pharmacy Operations 617-629-6434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MA MA0051361) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-12-18 |