| NPI | 1063183739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHICHUNG VICTOR FOK Pharmacist/Manager 203-887-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-01-26 |