| NPI | 1225695760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERT SARAIVA Pharmacist In Charge 401-965-5854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-11-26 |