| NPI | 1952031205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R PETRICONE President/Owner 860-489-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-10 |