NPI | 1154844918 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN COLBERT Sr. Director 401-765-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2017-07-24 |
Last Update Date | 2017-12-06 |