| NPI | 1063501302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FRANCO Licensing Supervisor 401-468-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |