| NPI | 1174232094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE COLBY Director, Medical Staff Services 508-941-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-10-09 |