| NPI | 1710260088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ANTHONY RONGONE Pharmacy Manager 617-389-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 17820) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |