NPI | 1114578630 |
---|---|
Doing Business As | SHORELINE FAMILY RX |
Entity Type | Organization |
Authorized Contact | CALEB DESROSIERS President 617-605-9336 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-09-25 |
Last Update Date | 2019-09-25 |