| NPI | 1013007095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PAPPAS Pharmacy Operations Manager 413-504-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CT PCY1203) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 4259010021) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-12-15 |