| NPI | 1457716631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYANARAYANA VALIVETI Member 860-223-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CT CSW.0002972) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |