| NPI | 1811255417 |
|---|---|
| Doing Business As | STATE STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OLEG URIM President 781-405-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MA DS89810) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2015-12-28 |