| NPI | 1235239252 |
|---|---|
| Doing Business As | PERROTTA'S SUPER DRUG |
| Entity Type | Organization |
| Authorized Contact | THOMAS PERROTTA Owner/President 978-682-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1200) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA 1200) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MA 1200) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-05-24 |