| NPI | 1871007443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENIVAS ATHULURI Pharmacist 508-998-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2023-02-06 |