| NPI | 1528076189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER C DEZINNO VP 203-235-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 416) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-05-05 |