| NPI | 1952472102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH PAUL SANASARIAN Registrant 508-295-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 1499) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2023-03-07 |