| NPI | 1679254239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAM CHAMBERLIN Chief Pharmacy Officer 860-679-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |