| NPI | 1649429952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Director 401-765-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2011-03-30 |