| NPI | 1043343411 |
|---|---|
| Other Name | PAWTUXET VALLEY COMPOUND LAB |
| Entity Type | Organization |
| Authorized Contact | MARK GILMORE Director Of Operations 401-821-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: RI pha00001) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |