| NPI | 1669800967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD EDEN Owner 401-284-1515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: RI PA00395) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |