| NPI | 1487017067 |
|---|---|
| Doing Business As | CONNECTICUT PHARMACY DIRECT |
| Entity Type | Organization |
| Authorized Contact | SCOTT WOLAK President And CEO 203-518-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CT PCY.0002331) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NH NR1506) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035394) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: RI PHN11251) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2018-07-19 |