| NPI | 1942614995 |
|---|---|
| Doing Business As | BEACON PRESCRIPTIONS |
| Entity Type | Organization |
| Authorized Contact | CORY MASCALO Owner/Pharmacist 860-589-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CT 1016) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2015-02-09 |