| NPI | 1538627450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KENNETH PLOUDE Owner/Pharmacist 774-901-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-03-10 |