NPI | 1649835505 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN F COLBERT Sr. Direector 401-770-2751 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-05-07 |