| NPI | 1669412318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GENESIUS Owner 203-245-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CT 0725) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |