| NPI | 1285216127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GARVIN Sr. VP, General Council 617-355-4937 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2025-10-09 |