| NPI | 1043747785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRYN LEWIS Pharmacy Owner/Manager 508-778-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MA 89933) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2020-05-06 |