NPI | 1598213472 |
---|---|
Doing Business As | MAIN STREET RX |
Entity Type | Organization |
Authorized Contact | ANDREW DELILLO CEO 475-323-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2016-09-20 |
Last Update Date | 2017-02-15 |