| NPI | 1740891001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ROBERT DILLING CFO 617-750-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2023-01-19 |