| NPI | 1043309677 |
|---|---|
| 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 PCY1788) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-07-16 |