| NPI | 1205473162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVESH SHAH VP & Chief Pharmacy Officer 617-638-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-12-26 |