| NPI | 1831161918 |
|---|---|
| Doing Business As | BEACON PRESCRIPTIONS - SOUTH STREET |
| Entity Type | Organization |
| Authorized Contact | GUS CAMPOS President/Pharmacist 860-583-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 1086) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1086) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2021-02-18 |