| NPI | 1710428131 |
|---|---|
| Doing Business As | BODY AND PAIN |
| Entity Type | Organization |
| Authorized Contact | IKECHUKWU (IKAY) KANAYO ENU Medical Director 617-905-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MD D0067749) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD D0067749) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MD D0067749) | |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |