NPI | 1245755354 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARIAH REITANO President 203-733-3385 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-08-09 |
Last Update Date | 2022-07-21 |