| NPI | 1437232519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr. Director 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P06780) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-11-27 |