| NPI | 1881791093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Sr Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-09-01 |