NPI | 1376884619 |
---|---|
Doing Business As | PROVINCETOWN OUTER CAPE PHARMACY |
Entity Type | Organization |
Authorized Contact | LINA LILLIAN WINTERS Director Of Revenue Cycle 508-905-2431 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89869) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2013-03-12 |
Last Update Date | 2023-09-15 |