| NPI | 1851492078 |
|---|---|
| Doing Business As | BAXTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THOMAS R LIBBY President 617-773-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 3502) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA 3502) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-03-02 |