| NPI | 1790883486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG HANCOCK President 203-235-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 897) |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |