| NPI | 1104269372 |
|---|---|
| Doing Business As | BLACKSTONE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY S KISHFY Member 401-440-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |