| NPI | 1346474194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA G BODDULURI Pharmacist Owner 603-723-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-08 |