NPI | 1851317705 |
---|---|
Doing Business As | BEACON FALLS PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | ROBERT BRADLEY Owner 203-729-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY2015) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-14 |
Last Update Date | 2017-01-18 |