| NPI | 1972708576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID MOHAGHEGH Owner 508-755-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MA 3523) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-12-02 |