| NPI | 1053899716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOANNIS NIKITAS PIC 413-253-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA DS89775) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |