| NPI | 1619766300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Sr Director 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |