| NPI | 1982737649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GILMORE Director Of Operations 401-821-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: RI pha00001) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-03-07 |