| NPI | 1194072496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYESH ASHOKBHAI BHAGAT Staff Pharmacist 978-983-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NH 3850) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |