NPI | 1235316910 |
---|---|
Doing Business As | WEST RIVER PHARM INC |
Entity Type | Organization |
Authorized Contact | BRIAN CALLAHAN CFO 508-573-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA 3572) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2008-01-25 |
Last Update Date | 2016-12-20 |