| NPI | 1942649033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY ANN OTFINOSKI Pharmacy Supervisor 860-297-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2025-06-05 |