| 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 |