| NPI | 1396562278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN K JACOB CEO 203-378-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |