| NPI | 1548294408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WHEELER President 617-689-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: RI PHA00347) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI PHA00347) |
| 333600000X Pharmacy (Licence: RI PHA00347) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-08-22 |