NPI | 1568987774 |
---|---|
Doing Business As | ENFIELD COMPOUNDING CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | FRANK EDWARD PAGE Manager 860-568-7019 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2017-08-08 |
Last Update Date | 2017-08-08 |