| NPI | 1881799716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE RAYMOND DEVILLERS President 1508-679-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 3398) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |