NPI | 1033190806 |
---|---|
Doing Business As | CANDLEWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID MASTERANTUONE Pres 203-746-2404 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: CT 1040) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2005-11-09 |
Last Update Date | 2020-08-22 |