| NPI | 1306653167 |
|---|---|
| Doing Business As | BOSTON ROAD PHARMACY-LTC |
| Entity Type | Organization |
| Authorized Contact | PADMAJA ANNAMANENI Director 718-733-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |