| NPI | 1013928654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARLONE Owner 860-983-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MA 3455) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-09-15 |