| NPI | 1386748028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: OR RPH-0001957-CS) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0001957) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-01-12 |