| NPI | 1699954842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA B BARTEL VP Pharmacy 617-632-2110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA 2335) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2011-11-18 |