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 |