| NPI | 1558762971 |
|---|---|
| Doing Business As | CONNECTICUT PHARMACY OF MADISON |
| Entity Type | Organization |
| Authorized Contact | SCOTT WOLAK President 203-518-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY0002300) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2016-11-29 |