| NPI | 1962685909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD DAYTON Director Pharmacy Systems 617-770-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2017-12-28 |