| NPI | 1437551892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE TAMER Pharmacy Supervisor 860-657-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT pct.0013159) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |