| NPI | 1396153110 |
|---|---|
| Doing Business As | BIG Y PHARMACY #58 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S GOLD VP/Assistant Secretary 413-504-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 0002295) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT PCY.2295) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2016-03-02 |