| NPI | 1508964800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPIKA PATEL Pharmacy Manager 203-929-8668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 1170) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1170CT) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-03-07 |