| NPI | 1518901966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49695) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-03-17 |