| NPI | 1093814600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANCIS REPPUCCI President 617-876-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1111) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-03-07 |