| NPI | 1780741819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL ARTHUR NUNES Treasurer,Owner 413-734-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 3310) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MA 3310) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2012-06-12 |