| NPI | 1033190806 |
|---|---|
| Doing Business As | CANDLEWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID MASTERANTUONE Pres 203-746-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CT 1040) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2025-09-11 |