| NPI | 1245373307 |
|---|---|
| Doing Business As | SUBURBAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SHANOS Owner And President 401-781-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: RI PHA00136) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-12-03 |