| NPI | 1538215231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUAN TRAN Owner 617-288-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 1888) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1888) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2025-09-11 |