Organization
BIG Y FOODS INC
Active
Other names
BIG Y PHARMACY #61
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PAPPAS (PHARMACY OPERATIONS MANAGER)
(413) 504-4492
Entity
Organization
Contact information
Practice address
995 POQUONNOCK ROAD, GROTON, CT 06340
(860) 445-7719
(860) 448-3145
Mailing address
995 POQUONNOCK ROAD, GROTON, CT 06340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4259010021
CT
333600000X
Pharmacy
PCY1203
CT
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247822
—
CT
01
—
0720133
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/13/2006
Last updated
12/15/2015
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