| NPI | 1770972614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY HANCOCK President 203-235-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT 2306) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2021-02-15 |