| NPI | 1952577173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBERT Senior Director, Payer Relations 401-770-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2019-11-05 |