| NPI | 1740578335 |
|---|---|
| Former Legal Business Name | EAST ROCK PHARMACY |
| Doing Business As | EAST ROCK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SCOTT WOLAK R Ph/President 203-518-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT PCY0002218) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2020-06-22 |