| NPI | 1316375868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director Of Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS51127) |
| Enumeration Date | 2013-10-19 |
| Last Update Date | 2013-10-19 |