| NPI | 1548684814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR FOURNIER Director Of Pharmacy 617-533-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA DS89917) |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2017-04-24 |