NPI | 1568965796 |
---|---|
Doing Business As | ENFIELD COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | FRANK PAGE Pharmacist/Owner 860-749-1101 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CT 2362) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-03-14 |
Last Update Date | 2018-07-19 |