| NPI | 1851139398 |
|---|---|
| Doing Business As | BACKUS RETAIL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY MASTROIANNI CFO, VP Of Finance 860-425-3837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |