| NPI | 1871197780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A STOUKIDES Pharmacist In Charge 401-722-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |