| NPI | 1154332641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGY WASSEF Owner Pharmacist 860-442-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1118) |
| 333600000X Pharmacy (Licence: CT 1118) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT 1118) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-03-07 |