| NPI | 1588709117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director,Pater Relations 401-770-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2010-11-18 |