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 |
Enumeration Date | 2014-09-25 |
Last Update Date | 2016-11-15 |