| NPI | 1881091270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MOEN VP Of Pharmacy Operations 508-755-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS89947) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-04-01 |