| NPI | 1811409014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW OLIVIER Owner 401-619-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261Q00000X |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2024-03-25 |