NPI | 1114086949 |
---|---|
Doing Business As | PAT JAY'S PHARMACY |
Entity Type | Organization |
Authorized Contact | IFEANYI EGESIONU Owner 617-825-2760 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 2180) |
Enumeration Date | 2006-12-07 |
Last Update Date | 2025-09-11 |