| NPI | 1184305864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAM CHAMBERLIN Chief Pharmacy Officer 860-679-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |