| NPI | 1215034921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAM SAMIR AGAYBY President 508-742-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 15805) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2021-09-29 |