| NPI | 1932610375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UYEN THI PHAM Pharmacist 617-959-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA DS2696) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |