NPI | 1366546087 |
---|---|
Doing Business As | GREENVILLE DRUG STORE INC |
Entity Type | Organization |
Authorized Contact | LORI LORD Manager 860-889-9857 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY.0000731) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2018-07-19 |