| NPI | 1124575865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr. Dr, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2017-12-05 |