| NPI | 1376967968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MARTIN Chief Financial Officer 855-865-5432 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89897) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2025-08-04 |