NPI | 1104916188 |
---|---|
Doing Business As | BIG Y PHARMACY #34 |
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 PCY1863) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT PCY.1863) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2015-12-15 |