| NPI | 1275070872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MASAYDA President 860-969-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY.0002348) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2020-06-18 |