| NPI | 1962788356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ESSENTER Pharmacist 203-225-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CT 10683) |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-10-29 |