| NPI | 1447368816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MI 5301006099) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2017-12-29 |