| NPI | 1487720314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: LA 5724) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2017-09-13 |