NPI | 1295559656 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN DEPORTER Chief Operating Officer 978-335-6077 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2024-11-12 |
Last Update Date | 2025-01-20 |