NPI | 1417290131 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY HOLLENBERG President 617-638-6903 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89861) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2024-12-26 |