| NPI | 1295121861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L MACHAFFIE Pharmacy Manager 413-395-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA DS89957) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-10-10 |