| NPI | 1700563293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEJAL A PATEL Manager 781-349-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-07-12 |