NPI | 1629752357 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN JAMES BUTURLA Owner 203-759-8548 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2023-06-13 |
Last Update Date | 2023-06-13 |