| NPI | 1366865990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGA ARITA MULPURI Pharmacist 203-955-1781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY0002282) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-11-20 |