| NPI | 1285627414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BEPKO Director 203-852-2687 |
| Organization Subpart ? | No |
| 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 | 2012-11-27 |