| NPI | 1962127787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMANA MADHUSUDAN PUDIPEDDI Owner 203-367-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |