| NPI | 1497864961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE COLBERT Sr. Director/ Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH17778) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-06-18 |