| NPI | 1750796280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSETH ROTH CHHIM Pharmacy Manager 978-374-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MA Ph27679) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |