| NPI | 1134652530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVAN NAGRECHA Manager 508-410-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ y007205) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-05-03 |