# DRUG SHOPPE HEALTH SOLUTIONS OF CONNECTICUT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598777153
- **Authorized official:** MR. CHARLES F ETUK (PRESIDENT)
- **Authorized official phone:** (860) 749-3824

## Contact information

- **Practice address:** 155 HAZARD AVE UNIT 16, ENFIELD, CT 06082-4580
- **Practice address phone:** (860) 749-3824
- **Mailing address:** 155 HAZARD AVE UNIT 16, ENFIELD, CT 06082-4580
- **Mailing address phone:** (860) 749-3824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 2068 | CT | — |
| 3336C0003X | Community/Retail Pharmacy | 2068 | CT | — |
| 3336L0003X | Long Term Care Pharmacy | 2068 | CT | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 05/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004262820 | — | CT |
| 05 | — | 004262838 | — | CT |