NPI | 1407695158 |
---|---|
Entity Type | Organization |
Authorized Contact | WING WONG Owner 617-459-0438 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-05-22 |
Last Update Date | 2024-07-12 |