| NPI | 1114000361 |
|---|---|
| Doing Business As | BEACON PRESCRIPTIONS-WATERBURY |
| Entity Type | Organization |
| Authorized Contact | RAJENDRA APPALANENI Vice President 203-755-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 608) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-21 |