| NPI | 1831503382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HORN Rph 617-529-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA PH18724) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |