NPI | 1194888453 |
---|---|
Doing Business As | EAST MAIN PHARMACY |
Entity Type | Organization |
Authorized Contact | SRINIVAS DAMARAJU Pharmacist Manager 203-755-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-12-18 |
Last Update Date | 2015-05-08 |