NPI | 1487898060 |
---|---|
Doing Business As | WATERBURY PHARMACY |
Entity Type | Organization |
Authorized Contact | PRAVEEN K DHULIPALLA Manager 201-270-8013 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-04-27 |
Last Update Date | 2023-03-07 |