| NPI | 1285627414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KURZATKOWSKI Director 203-258-6291 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 1593) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2025-10-01 |