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Organization
DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC
Active
Organization
DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES F ETUK (PRESIDENT)
(860) 749-3824
Entity
Organization
Contact information
Practice address
155 HAZARD AVE UNIT 16, ENFIELD, CT 06082-4580
(860) 749-3824
Mailing address
155 HAZARD AVE UNIT 16, ENFIELD, CT 06082-4580
(860) 749-3824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
2068
CT
3336C0003X
Community/Retail Pharmacy
2068
CT
3336L0003X
Long Term Care Pharmacy
Primary
2068
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004262820
—
CT
05
—
004262838
—
CT
Enumeration date
08/12/2006
Last updated
05/03/2012
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