| NPI | 1629181193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VINCENT ROBERTO President 401-831-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: RI PHA00077) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-03-07 |