| NPI | 1417234337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATARZYNA KEEGAN Pharmacy Manager 860-618-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 0011621) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2011-11-06 |