| NPI | 1376649186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SIMAO SOUSA President 860-523-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 532) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 532) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |