| NPI | 1568400570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS CELLA Assistant Vice President 508-651-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE008602) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |