| NPI | 1184730814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIK CHAMBERLIN Owner 860-628-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY000133) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1334) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2015-02-06 |