| NPI | 1225206329 |
|---|---|
| Doing Business As | BLACKSTONE HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GARY KISHFY President/PIC 401-475-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI PHA00438) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2011-08-23 |