| NPI | 1992211627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OLENDER Member 860-767-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY.0002367) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2023-02-06 |