| NPI | 1750707725 |
|---|---|
| Doing Business As | PROSPECT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIRISHA MALLIDI Member 203-758-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |