| NPI | 1750864047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU SAMPRATHI Pharmacy Manager 203-206-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |