| NPI | 1124520994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIO FERNANDEZ Pharmacist/Owner 401-473-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI PHA00664) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-03-15 |