| NPI | 1639351364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKY TENGALIA President 781-925-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS3565) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2008-01-03 |