| NPI | 1194760470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E BACKER Pres 401-751-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI 209) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI ES04467) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-01-20 |