| NPI | 1669486940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STUKSHIS President 203-753-5158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 421) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-09-29 |