| NPI | 1720305303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTA OKOYE Manager 617-541-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89725) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2025-09-11 |