| NPI | 1871538280 |
|---|---|
| Doing Business As | MANCHESTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANIL K PULIGILLA Pharmacy Manager 860-649-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CT 1290) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1290) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2009-02-18 |