| NPI | 1417558339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HONG Owner 860-941-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |