| NPI | 1366578775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEDROS KOOSHERIAN President 401-723-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI PHA00067) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-09-12 |