| NPI | 1457805442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOT AVAILABLE NOT AVAILABLE Pharmacist 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AZ 0) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2017-02-08 |