| NPI | 1235201997 |
|---|---|
| Doing Business As | THE MEDICINE CENTRE BORDONARO'S |
| Entity Type | Organization |
| Authorized Contact | JOSEPH E BORDONARO Owner Manager 860-342-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 752) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT 752) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 752) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CT 752) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-04-04 |