| NPI | 1932236775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RATNA KUMAR KAMMULURI Pharmacist 860-882-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CT 2051) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-09-19 |