| NPI | 1316411267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SOLOMON Manager 401-618-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-03-11 |