| NPI | 1255629820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN L. GORRINDO Secretary 617-726-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2024-10-22 |