| NPI | 1952061939 |
|---|---|
| Doing Business As | PHARMACY AT BLUE BACK |
| Entity Type | Organization |
| Authorized Contact | ARIEL ZAUROV Pharmacist 860-656-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2022-03-16 |