| NPI | 1417068560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAMS BOORAS Owner And Pres 781-598-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA 9321) |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-11-02 |