| NPI | 1306297098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHIN Supervising Pharmacist 781-373-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |