| NPI | 1639275183 |
|---|---|
| Doing Business As | SUBURBAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SATISH ANNAMANENI Pharmacy Director/AO 860-236-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 2051) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2018-07-19 |