Organization
SOUTHWOOD PHARMACY, INC
Active
Other names
SOUTHWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD SZEWCZYK BS (PRES)
(860) 749-8334
Entity
Organization
Contact information
Practice address
89 RAFFIA RD, ENFIELD, CT 06082-5157
(860) 749-8334
(860) 749-8156
Mailing address
89 RAFFIA RD, ENFIELD, CT 06082-5157
(860) 749-8334
(860) 749-8156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004028817
—
CT
01
—
0708353
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/17/2007
Last updated
08/09/2011
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