| NPI | 1992769350 |
|---|---|
| Doing Business As | CONNECTICUT PHARMACY MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | KATHY WOLAK Managing Member 203-518-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CT PCY0000434) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 28RO00114900) |
| 333600000X Pharmacy (Licence: NY 033409) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA NP000838) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: RI PHN10764) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: VA 0214001732) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: VT 036.125415) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2018-07-19 |