| NPI | 1275545857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PASQUARIELLO Owner 781-395-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA 2621) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 2621) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |