| NPI | 1265860019 |
|---|---|
| Doing Business As | MED PHARM LTC |
| Entity Type | Organization |
| Authorized Contact | JAMIE JENSEN Pharmacy Manager 860-423-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT PCY.0002264) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2025-10-28 |