| NPI | 1194821025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COMEAU President 860-875-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 0358) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-03-23 |