| NPI | 1114475118 |
|---|---|
| Doing Business As | REVOLUTION MEDS PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | PATRICK F DOWNING COO 508-654-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2023-10-10 |