| NPI | 1679574933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. GERALD LONGENECKER Director Of Pharmacy 508-856-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA MA0051069) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |