| NPI | 1558704718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA NEVAREZ Owner 617-533-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89862) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |