| NPI | 1962593764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CHARLES MARCHAM President 860-875-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 377) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2025-09-11 |