| NPI | 1649869348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MICHAEL LEWIN Owner 203-927-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-16 |