| NPI | 1609855113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA ROBERTS FORTINO President 203-853-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: CT 1538) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CT 1538) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2023-03-07 |