| NPI | 1639445034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BROWNE Executive Director,AO 617-208-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MA DS90057) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2018-12-07 |