| NPI | 1861811853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE SHERRY Clinical Operations Manager 401-770-5983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 018584) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |