NPI | 1760103089 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN JAMES BUTURLA Co Owner, Managing Member 203-824-3570 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2022-09-06 |
Last Update Date | 2023-03-07 |