| NPI | 1316568330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROLAND ROSSIGNOL Vice President 781-647-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |