| NPI | 1619221322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIET MINH NGO Owner 781-885-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2024-11-07 |