| NPI | 1033671771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr. Director 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-05-31 |