| NPI | 1629551759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J METCALF Sr. Dir. Of Hospital Operations 860-679-7943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2020-07-22 |