NPI | 1700194867 |
---|---|
Doing Business As | BIG Y PHARMACY #5 |
Entity Type | Organization |
Authorized Contact | GEORGE L PAPPAS Sr Manager Of Pharmacy Services 413-504-4492 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY.1647) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 4259010041) |
Enumeration Date | 2010-09-22 |
Last Update Date | 2016-02-18 |