| NPI | 1477955037 |
|---|---|
| Doing Business As | MERIDIAN VILLAGE PHARMACY AT JACKSON |
| Entity Type | Organization |
| Authorized Contact | GABRIEL OUELLETTE Manager / Owner 860-367-3387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2024-11-18 |