| NPI | 1730805417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET DAVIES Third Party Billing Manager 508-580-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |