NPI | 1083141659 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY HOLLENBERG President 617-638-6903 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2017-05-15 |
Last Update Date | 2024-12-26 |