| NPI | 1063427672 |
|---|---|
| Doing Business As | MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GEORGE MARRA Pharmacist 781-344-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1709) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-02-11 |