| NPI | 1780689836 |
|---|---|
| Other Name | PHARMACY DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | MARTIN G DEFLORIO Director Of Pharmacy 203-679-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CT 119-C) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CT 119C) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-03-07 |