| NPI | 1427060102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD HEITIN Owner/President 781-322-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 9460) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |