| NPI | 1972860609 |
|---|---|
| Former Legal Business Name | HOLLISTON FAMILY PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | MATT MOEN Vice President 508-755-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2015-07-09 |