| NPI | 1417072950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT WHALEN President 413-584-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MA 5818) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |