| NPI | 1518150002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr. Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0002411-CS) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2018-01-12 |