| NPI | 1306803705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KRAINOW CFO 617-739-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA 3367) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |