| NPI | 1154986867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT OBRIEN Manager 203-574-7825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |