| NPI | 1396885836 |
|---|---|
| Doing Business As | BELLA VISTA PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | ROGER BEAUDOIN Pharmacy Manager 860-921-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY0001063) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2023-11-24 |