| NPI | 1316062904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE GRESH Owner 860-979-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CT PCY.1828) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |