| NPI | 1104661511 |
|---|---|
| Doing Business As | CROWN COLONY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LE President 617-335-4127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |