| NPI | 1114978566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN GALLAGHER VP COO 617-616-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MA MA0055170) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |