| NPI | 1306395918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN HANCZARYK Pharmacist 508-558-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME pr46137) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME adv46138) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |