| NPI | 1063510097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOFFATT Vice President 401-770-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH21423) | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-10-04 |