| NPI | 1437620903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr Director 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2019-02-05 |