| NPI | 1073130787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGY WASSEF Member 860-339-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-07-08 |