| NPI | 1376957738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BENIDATI Pharmacist Supervisor 203-259-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0008672) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |