NPI | 1063757631 |
---|---|
Doing Business As | CONNECTICUT PHARMACY LLC |
Doing Business As | CONNECTICUT PHARMACY |
Entity Type | Organization |
Authorized Contact | SCOTT WOLAK President/CEO 203-518-1146 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT 0002254) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2012-12-07 |
Last Update Date | 2018-10-29 |