| NPI | 1881788339 |
|---|---|
| Doing Business As | BALBONIS DRUG STORE INC |
| Entity Type | Organization |
| Authorized Contact | RICHARD TASSINARI Chief Phrm 508-746-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1287) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-02-14 |