| NPI | 1952416125 |
|---|---|
| Doing Business As | WILLIMANTIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRAHMAJI GAZZARAPU Pharmacy Manager 860-423-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT PCY0000070) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-12-12 |