| NPI | 1184194276 |
|---|---|
| Doing Business As | ETERNA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | FELIX BAEZ Pharmacist 401-486-4789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-12-30 |