| NPI | 1801990692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F COLBERT Senior, Director Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP481539) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-04-16 |