| NPI | 1619270006 |
|---|---|
| Doing Business As | J.E. PIERCE APOTHECARY COMPOUNDING LAB |
| Entity Type | Organization |
| Authorized Contact | DERICK ANDERSON President 617-608-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 89745) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |